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Week 4 Study Guide
Week 4 Chapter 11 Study Guide
Question | Answer |
---|---|
These elements would be part of the social history | Employment, education, & use of drugs |
Bruising would be an element of review of this organ system | Hematologic |
The level of E/M service is based on | Documentation, contributing factors, & key components |
The HPI must be documented in the medical record by | The Physician |
The examination is the______________portion of the E/M service | Objective |
Medical decision making (MDM) is based on the__________________ the physician must consider about the management of a patients condition. | Number of diagnoses, amount of data, & risk morbidity |
The Hospital Inpatient Services subsection is used for patients admitted to | An Acute care facility |
The request for advice or opinion from one physician to another physician is this type of service | Consultation |
Critical care codes are reported based on | Time |
Codes from the E/M subsection Nursing Facilities Service are used to report services provided in nursing facilities that used to be known as | Skilled nursing facility, long-term care facility, & intermediate care facility |
When a physician performs a preventive care service, the extent of the exam is determined by the | Age |
According to information in 99468, what is the age of neonate? | 28 days or younger |
According to E/M guidelines a(n) ______________ exam encompasses a complete single-specialty exam or a complete multisystem exam. | Comprehensive |
Mr. Smith presents to the Emergency Department at the local hospital for chest pain and is seen by the ED physician on duty. The physician obtains an extended HPI, an extended ROS, and a pertinent PFSH. What is the level of history? | Detailed |
The physician performs an extended exam of the affected body areas and related organ systems. What is the level of examination? | Detailed |
The physician must consider multiple diagnoses and management options. There is a moderate amount of ata to be reviewed and the risk of complications or death is moderate. What is the level of MDM? | Moderate |
What CPT code is assigned to an ED service that has detailed history and exam with a moderate level of MDM> | 999284 |
An established patient is one who has received professional service from the physician or another physician of the exact same specialty and sub-specialty in the same group within the past_________ years. | 3 |
The definition of low birth weight can be found in the notes for subheading__________________________ | Initial & continuing intensive care services |
Identify as body (BA) or organ system (OS):Neck | BA |
Identify as body (BA) or organ system (OS):Skin | OS |
Identify as body (BA) or organ system (OS):Eyes | OS |
Identify as body (BA) or organ system (OS):Back | BA |
Identify as body (BA) or organ system (OS):respiratory | OS |
The term used to describe a patient who has NOT been formally admitted to a health care facility is | Outpatient |