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Billing and Coding Chapter 6

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Question
Answer
services that a physician provides to evaluate patients that were previously referred to as office, hospital, or home visits   E/M services  
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How many key components must be present to assign a subsequent E/M code.   2 of 3  
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If you recieved care from the same physician in the last 3 years you would be considered a what?   Established Patient  
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When a patient returns after the initial visit, this is called a   Follow Up Visit  
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What are the 3 Key components used to identify the correct level of service   History, Examination, and Medical Decision Making  
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The 4 contributory components of an E/M codes   Counseling, Coordination of Care, Time, and Nature of presenting problem.  
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services grouped together related to a code   Bundling Services  
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Preventative Services are categorized by   Age  
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Criteria that needs to be met to bill a 99211 is   ALL OF THE ABOVE  
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A referral can be   transfer of care & requesting authorization of services  
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After the initial consultation the patient becomes what?   an Established Patient  
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When a physician requests an opinion from another physician after a diagnosis has been made, that is called a   Confirmatory Consult  
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True or False? An outpatient is one who recieves services in a emergency room   TRUE  
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True or False? When a patient is designated and is admitted to observation status that patient considered impatient   FALSE  
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care for an unexpected medical condition or the worsening of a condition. That poses a threat to life, limb, or sight.   Emergency Care  
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intensive care provided in a variety of acute life threatening conditions, requiring constant beside attention by the physician or nurse   Critical Care  
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services provided to prevent an illness, injury, or disease   Preventative Medicine  
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discussion between the physician and patient, family, or both regarding health concerns.   Counseling  
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gives a more accurate description of services rendered   Modifier  
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services rendered by a physician whose opinion or advice is requested by another physician   Consultation  
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The CPT code has how many digits?   5  
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How many levels of HCPCS are there?   3  
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How often is the CPT code book revised?   yearly  
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CPT stands for what?   Current Procedural Terminology  
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Who developed the HCPCS & CPT codes?   CMS  
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