Week 4 Review
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| show | Place of service, type of service, and patient status
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| show | Place of service
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| Factor in code assignment that is the reason the service is requested or performed. | show 🗑
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| show | Patient status
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| A written or verbal request from one provider/physician to another to obtain an opinion and/or advice about a diagnosis or management options. | show 🗑
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| Attention to an acute illness or injury that results in admission to a hospital. | show 🗑
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| The evaluation and determination of care management of a newly born infant. | show 🗑
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| show | Office visit
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| What are the four types of patient status? | show 🗑
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| Patient who has not received professional face-to-face services from the physician or another physician of the same specialty in the same group within the past 3 years. | show 🗑
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| Patient who has received professional face-to-face services from the physician or another physician of the same specialty in the same group within the past 3 years. | show 🗑
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| show | Outpatient
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| show | Inpatient.
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| Patient information is located in the medical record. This information is referred to as? | show 🗑
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| The levels of service are based on? | show 🗑
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| What are the key components that the levels of service are based on? | show 🗑
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| Key components are present in every patient case except? | show 🗑
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| show | History
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| show | The physician
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| show | Chief complaint, history of present illness, review of systems, and past, family, and/or social history.
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| A concise statement describing the symptom, problem, condition, diagnosis, physician-recommended return, or other factor that is the reason for the encounter, usually stated in the patient's words. | show 🗑
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| show | History of Present Illness (HPI)
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| An inventory of body systems obtained through a series of questions seeking to identify signs and/or symptoms that the patient may be experiencing or has experienced. | show 🗑
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| show | Past history
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| show | Social history
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| show | Family history
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| show | The chief complaint or presenting problem of the patient.
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| What are the four history levels? | show 🗑
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| History level in which the physician focuses on the chief complaint and a brief history of the present problem of a patient. | show 🗑
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| History level in which the physician focuses on a chief complaint, obtains a brief history of the present problem, and also performs a problem pertinent review of systems. | show 🗑
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| show | Detailed
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| History level in which the physician documents the chief complaint, obtains and extended history of the present problem, does a complete review of systems, and obtains a complete PFSH. | show 🗑
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| show | The lowest level
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| Information regarding the complaint or problem in the history portion of the encounter. | show 🗑
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| Information that contains the findings observed by the physician about the complaint or problem. | show 🗑
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| What are the four examination levels? | show 🗑
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| show | Problem focused
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| show | Expanded problem focused
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| Examination level in which an extended examination is made of the affected body area(s) and other symptomatic or related organ system(s). | show 🗑
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| show | Comprehensive
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| show | Examination, history, medical decision making
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| show | Patient complaint
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| show | Constitutional
symptoms
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| In which level of examination is a complete multisystem examination performed? | show 🗑
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| In which level of examination is a limited examination of the affected body area or organ system reviewed? | show 🗑
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| is based on the number of possible diagnoses and/or the various ways the diagnosis can be treated. | show 🗑
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| show | Minimal, low, moderate, high
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| show | Minimal
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| show | Low
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| show | Moderate
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| show | High
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| show | Straightforward
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| When MDM Complexity is _____, The number of diagnoses or management options is limited. The amount and/or complexity of data are limited. The risk of complication or death is low. | show 🗑
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| When MDM Complexity is __________, The number of diagnoses or management options is multiple. The amount and/or complexity of data are moderate. The risk of complication or death is moderate. | show 🗑
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| show | High
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| Minimal diagnoses and management options would be a part of which level of medical decision making? | show 🗑
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| The __________ presenting problem may not require the physician to be in attendance. Some examples are a dressing change or removal of an uncomplicated suture. | show 🗑
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| The __________ presenting problem is a minor problem that will run its course with a good outcome predicted. | show 🗑
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| show | Low
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| The __________ presenting problem is one in which without treatment there is a moderate risk of increasing sickness and a moderate risk of death. | show 🗑
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| show | High
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| show | No
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| show | Initial hospital care
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| show | Subsequent Hospital Care
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| show | Hospital discharge services
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| The physician who admits the patient and is responsible for the patient during the stay in the inpatient facility. | show 🗑
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| show | Consultant
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| The care given to the patient by more than one physician at the same time. | show 🗑
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| show | Consultation
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| When coding critical care services, you would code the 30-74 minutes and then for each _____ minutes after 74. | show 🗑
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| When coding prolonged services, you would not report time that is less than _____ minutes. | show 🗑
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| show | Providing services to another patient.
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| Medical Team Conference services are billed on the basis of time in blocks of ___________ minutes. | show 🗑
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| An annual checkup is an example of which type of service? | show 🗑
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| show | Special evaluation and management services.
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| show | Evaluation
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| If a physician encounters a problem during the course of a preventive service and the service requires significant additional service, you could code an office code along with which modifier? | show 🗑
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| Which government group is responsible for the Medicare program? | show 🗑
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| show | E/M
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| show | 50%
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| show | Centers for Medicare and Medicaid Services
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Or sort by any of the columns using the down arrow next to any column heading.
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