MOA 193 - Current Procedural Term Coding » Spring 2023 » Digital Review & Assignment 8
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Question #1
Why is it important for physicians and healthcare professionals to understand how to correctly document their patient charts to reflect the time spent with their patients?
A.
To track a patient's progress over time and make informed decisions about their treatment plan
B.
All of the reasons listed apply
C.
To comply with regulations and ensure accurate billing practices
D.
To justify reimbursement for billed services from insurance companies
Question #2
To justify reimbursement for billed services from insurance companies
A.
The total time spent on the date of the encounter
B.
The actual time spent performing the service or procedure on a patient
C.
The time spent coordinating care and counseling the patient
D.
The typical amount of time spent on the service level
Question #3
When can physicians use the time listed in the code descriptor to select the appropriate E & M service level?
A.
When intraservice times exceed typical time ranges
B.
When counseling and coordination of care dominate the visit
C.
When documentation is unclear or incomplete
D.
When key components of the service provided are met
Question #4
What should professional coders always review before coding?
A.
The patient's medical history
B.
The applicable guidelines
C.
The physician's notes
D.
The insurance company's reimbursement policies
Question #5
What is face-to-face time?
A.
The time the physician spends reviewing records and tests or arranging further services for the patient.
B.
The duration of time the physician spends with the patient and their family, including history-taking, examination, and counseling.
C.
The duration that the physician spends providing services for the patient while being present on the patient's facility unit and at the patient's bedside.
D.
The time spent on pre- and post-encounter activities.
Question #6
What does unit/floor time represent?
A.
The duration that the physician spends providing services for the patient while being present on the patient's facility unit and at the patient's bedside.
B.
The time the physician spends reviewing records and tests or arranging further services for the patient.
C.
The duration of time the physician spends with the patient and their family, including history-taking, examination, and counseling.
D.
The time spent on pre- and post-encounter activities.
Question #7
When should time be used as the controlling factor in non-office E&M code selection?
A.
When the physician spends more than 50% of the time arranging further services for the patient.
B.
When history and exam components are not documented.
C.
When counseling, coordination of care, or both make up more than 50% of the face-to-face time with the patient or family or more than 50% of the floor or unit time.
D.
When the physician spends more than 50% of the time reviewing records and tests.
Question #8
Which of the following should be included in the time used to determine an appropriate E&M code?
A.
Reviewing laboratory results
B.
Performance and interpretation of diagnostic tests
C.
Performance and interpretation of diagnostic tests & Ordering diagnostic tests
D.
Ordering diagnostic tests
Question #9
When can physicians use the time listed in the code descriptor to select the appropriate E & M service level?
A.
When counseling and coordination of care dominate the visit
B.
When the patient requests it
C.
Whenever they want
D.
When key components dominate the visit
Question #10
What is included in the intraservice times for non-office E & M descriptors?
A.
Neither one of the options
B.
Only unit/floor time
C.
Both face-to-face time and unit/floor time, depending on the type of service
D.
Only face-to-face time
Question #11
What is important when selecting E&M codes based on documentation?
A.
The patient's address
B.
The patient's age
C.
The color of the patient's clothing
D.
The documented total time
Question #12
All E&M code descriptors indicate the amount of time typically spent on a service level?
A.
TRUE
B.
FALSE
Question #13
What should be done if an E&M service is not identified with a specific code in the CPT code set?
A.
Code 99211 should be selected
B.
Code 99429 should be selected for unlisted preventive medicine services
C.
Code 99499 should be selected for unlisted evaluation and management services
Question #14
When can counseling and coordination of care be used as the key factor for selecting a particular E&M code?
A.
If they make up more than 25% of the encounter
B.
If they make up more than 90% of the encounter
C.
If they make up more than 50% of the encounter
D.
If they make up more than 75% of the encounter
Question #15
Who is included in the term "family" for E&M reporting purposes?
A.
Only those who are responsible for patient care or decision-making, such as foster parents or a legal guardian.
B.
Only the patient's immediate family.
C.
Only those who are present during the encounter.
D.
Those who are responsible for patient care or decision-making, such as foster parents or a legal guardian, but payer rules may differ.
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