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Bill&Code Chpt 6

Billing and Coding Chapter 6

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