A GUIDED APPROACH TO INTERMEDIATE & ADVANCED CODING (SEPTEMBER 2020) WITH CORRECT ANSWERS 100%

A GUIDED APPROACH TO INTERMEDIATE & ADVANCED CODING (SEPTEMBER 2020) WITH CORRECT ANSWERS 100% D. All are MCE (Medicare Code Editor) edit - Correct Answer Which of the following is NOT an MCE edit? A. Incorrect fourth or fifth digit B. Invalid age C. Invalid gender D. All are MCE (Medicare Code Editor) edit A BLANK ROS inquires about the system directly related to the problem identified in the HPI. In this example, one system - the ear - is reviewed: ● CC: Earache. ● ROS: Positive for left ear pain. Denies dizziness, tinnitus, fullness, or headache. - Correct Answer problem pertinent An BLANK ROS inquires about the system directly related to the problem(s) identified in the HPI and a limited number (two to nine) of additional systems. In this example, two systems - cardiovascular and respiratory - are reviewed: ● CC: Follow-up visit in office after cardiac catheterization. Patient states "I feel great." ● ROS: Patient states he feels great and denies chest pain, syncope, palpitations, and shortness of breath. Relates occasional unilateral, asymptomatic edema of left leg. - Correct Answer extended A BLANK ROS inquires about the system(s) directly related to the problem(s) identified in the HPI plus all additional (minimum of ten) organ systems. You must individually document those systems with positive or pertinent negative responses. For the remaining systems, a notation indicating all other systems are negative is permissible. In the absence of such a notation, you must individually document at least ten systems. In this example, ten signs and symptoms are reviewed: ● CC: Patient complains of "fainting spell." ● ROS: One-Constitutional: Weight stable, fatigue. Two-Eyes: + loss of peripheral vision. Three-Ear, nose, mouth, throat: No complaints. Four-Cardiovascular: + palpitations; denies chest pain; denies calf pain, pressure, or edema. Five-Respiratory: + shortness of breath on exertion. Six-Gastrointestinal: Appetite good, denies heartburn and indigestion. episodes of nausea. Bowel movement daily; - Correct Answer complete BLANK consists of a review of three areas: ● Past history includes experiences with illnesses, operations, injuries, and treatments ● Family history includes a review of medical events, diseases, and hereditary conditions that may place the patient at risk ● Social history includes an age appropriate review of past and current activities - Correct Answer Past, Family, and/or Social History (PFSH) The three types of ROS are BLANK, BLANK, and BLANK. - Correct Answer problem pertinent, extended, complete The two types of PFSH are BLANK and BLANK - Correct Answer pertinent and complete . A BLANK PFSH is a review of the history areas directly related to the problem(s) identified in the HPI. Must document at least one item from any of the three history areas. In this example, the patient's past surgical history is reviewed as it relates to the identified HPI: ● HPI: Coronary artery disease. ● PFSH: Patient returns to office for follow-up of coronary artery bypass graft in 1992. Recent cardiac catheterization demonstrates 50 percent occlusion of vein graft to obtuse marginal artery. - Correct Answer pertinent A BLANK PFSH is a review of two or all three of the areas, depending on the category of E/M service. It requires a review of all three history areas for services that, by their nature, include a comprehensive assessment or reassessment of the patient. A review of two history areas is sufficient for other services. - Correct Answer complete BLANK Care is a program designed to allow older adults or adults with disabilities to remain in the community by providing an opportunity for them to live with an individual or family. - Correct Answer Domiciliary (daa·muh·si·lee·eh·ree) An inventory of body systems obtained by asking a series of questions to identify signs and/or symptoms the patient may be experiencing or has experienced. These systems are recognized for BLANK purposes: ● Constitutional Symptoms (for example, fever, weight loss) ● Eyes ● Ears, nose, mouth, throat ● Cardiovascular ● Respiratory ● Gastrointestinal ● Genitourinary ● Musculoskeletal ● Integumentary (skin and/or breast) ● Neurological ● Psychiatric ● Endocrine ● Hematologic/lymphatic ● Allergic/immunologic - Correct Answer Review of Systems (ROS) Five HPI elements 1. location (left ear) 2. quality (dull ache) 3. duration (2 days ago) 4. context (swimming) 5. modifying factors (somewhat relieved by warm compress and ibuprofen.) - Correct Answer In this example, how many HPI elements are there and name them ● CC: Patient complains of earache. ● Extended HPI: Patient complains of dull ache in left ear over the past 24 hours. Patient states he went swimming 2 days ago. Symptoms somewhat relieved by warm compress and ibuprofen.