CMN 572 Unit 5 coding/Evaluation and Mgmnt Services Guide (E/M) with correct answers 100%

CMN 572 Unit 5 coding/Evaluation and Mgmnt Services Guide (E/M) with correct answers 100% ICD9 are _______ codes - Correct Answer Diagnostic codes Please list the documentation required for each patient encounter. - Correct Answer -Reason for the encounter and relevant history, physical examination findings, and prior diagnostic test results; • Assessment, clinical impression, or diagnosis; • Medical plan of care; and • Date and legible identity of the observer. CPT codes are used to bill for services in the _____ and _____ setting. - Correct Answer office, outpatient ICD9 codes are used to bill for _________ claims. - Correct Answer inpatient For you to classify a CPT code for a new patient, the patient must not have been seen by anyone in your practice for _____ years. - Correct Answer 3 An established patient for CPT coding purposes is a patient that has been seen in the practice within the previous ____ years. - Correct Answer 3 In CPT coding, the patient type refers to.... - Correct Answer a new or established patient In general, the more complex the visit, the higher the level of code the physician or NPP may bill within the appropriate category T/F - Correct Answer T When determining the level of service, what is the controlling factor when predominately counseling and/or coordination of care are provided? - Correct Answer how much time spent What are the 3 factors that determine level of service other than counseling or coordination of care? - Correct Answer history, examination, and medical decision making a problem focused history requires the documentation of the chief complaint (CC) and a brief history of present illness (HPI) while a detailed history requires the documentation of a CC, an extended HPI, plus an extended review of systems (ROS), and pertinent past, family, and/or social history (PFSH). T/F - Correct Answer T A brief HPI contains how many elements of the HPI? - Correct Answer One to three elements An extended HPI contains how many elements of the HPI? - Correct Answer 4 or more What is the definition of the ROS? - Correct Answer A ROS is an inventory of body systems obtained through a series of questions seeking to identify signs and/or symptoms which the patient may be experiencing or has experienced. You may document positive responses and pertinent negatives in the ROS. - Correct Answer T Problem Focused has how many elements? - Correct Answer One to five elements identified by a bullet.