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HIM140 Test 3 Questions and Answers

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HIM140 Test 3 Questions and Answers cardiopulmonary resuscitation Which CPT service is not considered part of critical care and can be reported separately? nursing facility services Which code group is used to report E/M services provided to patients in a psychiatric residential treatment center? total length of visit The physician office note states: "counseling visit, 15 minutes counseling in follow up with a patient newly diagnosed with diabetes." If the physician codes a 99214 visit, which vital piece of documentation is missing to substantiate this code? observation/inpatient care services A patient is admitted and discharged from the hospital on the same day. Which category of E/M services should the physician use to code these services? office/other outpatient services When a patient REQUESTS a consultation from a physician, which category of E/M services should the physician who performed the service use to code these services? history Patient is seen by her PCP for headaches. The physician performs a physical exam, reviews data, and outlines management options. Which of the following key components is missing from this case? age of patient Which of the following is a key factor for selecting a correct code for preventive medicine services? established patient A patient who has received professional services from the physician or qualified healthcare professional within the past 3 years (face to face). chief complaint A concise statement describing the symptom, problem, condition, diagnosis, a return visit recommended by the physician, or other factor as the reason for the visit. history examination medical decision making List the 3 key factors in determining the appropriate E/M code assignment. counseling coordination of care presenting problem time List the 4 contributing factors in determining the appropriate E/M code assignment. transfer of care When one physician gives another the responsibility of providing services to a patient, this is known as: history of present illness The chronological description of the development of the patient's current illness is known as: social history Discussion factors that affect patient health such as smoking or alcohol use would be documented in the: family history The cause of death of a patient's parent would be documented in the: medical decision making The complexity of establishing a diagnosis and selecting management options is known as: preventive medicine services Which category of services would contain the code for a patient with no complaints seen in the office for an annual physical? problem focused The type of exam that is limited to the affected body area is: 2 An extended ROS must have at least ____ systems documented. comprehensive A _________ history requires a complete PFSH (past, family, or social history). problem focused A ________ history does not require a ROS (review of symptoms). chargemaster Used by most hospitals when reporting radiological procedures; contains a computer-generated list of CPT and HCPCS codes, revenue codes, etc. Used to automate the billing of lab and path services. qualitative screening Refers to tests that detect the presence of a particular analyte, constituent, or condition. These studies are performed to determine whether a particular substance is present in the sample being evaluated. quantitative screening Studies that provide results expressing specific numerical amounts of an analyte in a specimen. radiological supervision & interpretation Codes that are used to describe the radiological portion of a procedure that two physicians often perform. concurrent care The circumstance in which more than one physician or qualified healthcare professional provides similar services to the same patient on the same day. review of systems (ROS) An inventory of body systems obtained by the physician through a series of questions seeking to identify signs/symptoms the patient may be experiencing or has experience. This is not hands on, this is asking the patient questions.

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IFPC
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IFPC

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HIM140 Test 3 Questions and Answers
cardiopulmonary resuscitation - answer Which CPT service is not considered part of
critical care and can be reported separately?

nursing facility services - answer Which code group is used to report E/M services
provided to patients in a psychiatric residential treatment center?

total length of visit - answer The physician office note states: "counseling visit, 15
minutes counseling in follow up with a patient newly diagnosed with diabetes." If the
physician codes a 99214 visit, which vital piece of documentation is missing to
substantiate this code?

observation/inpatient care services - answer A patient is admitted and discharged
from the hospital on the same day. Which category of E/M services should the physician
use to code these services?

office/other outpatient services - answer When a patient REQUESTS a consultation
from a physician, which category of E/M services should the physician who performed
the service use to code these services?

history - answer Patient is seen by her PCP for headaches. The physician performs
a physical exam, reviews data, and outlines management options. Which of the
following key components is missing from this case?

age of patient - answer Which of the following is a key factor for selecting a correct
code for preventive medicine services?

established patient - answer A patient who has received professional services from
the physician or qualified healthcare professional within the past 3 years (face to face).

chief complaint - answer A concise statement describing the symptom, problem,
condition, diagnosis, a return visit recommended by the physician, or other factor as the
reason for the visit.

history
examination
medical decision making - answer List the 3 key factors in determining the
appropriate E/M code assignment.

counseling
coordination of care
presenting problem

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Institution
IFPC
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IFPC

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