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Bill&Code Chpt 6
Billing and Coding Chapter 6
| Question | Answer |
|---|---|
| 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
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