Office Visit (e&m) Coding
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- 1.
- A.
A. Evaluation and Measurement, a system of coding outpatient medical procedures.
- B.
B. Exempted Methodology, allows a certain medical visits to use a generic E&M code.
- C.
C. Evaluation and Management, used as the official coding definition for an office visit.
- D.
D. Not sure.
- 2.In a patient’s medical chart or superbill, which explains to the payer “what” happened at the medical encounter?
- A.
A. ICD-9 code.
- B.
B. CPT or HCPC code.
- C.
C. Your clear clinical notes.
- D.
D. Not sure.
- 3.
- A.
A. ICD-9 code.
- B.
B. CPT or HCPC code.
- C.
C. Your clear clinical notes.
- D.
D. Not sure.
- 4.
- A.
A. Patient history.
- B.
B. Allergies.
- C.
C. Consent to Treat.
- D.
D. Reason for Visit.
- E.
E. Current medications.
- F.
F. Exam.
- G.
G. Medical decision making.
- H.
H. Treatment Plan.
- I.
I. Continuity of Care.
- 5.When seeing an “established” patient, what is the “Key Component” coding difference?
- A.
A. Coding for established patients may not include a first-time consent to treat code.
- B.
B. Coding for established patients excludes patient history.
- C.
C. Coding for established patients requires that 2 of 3 key components are met.
- D.
D. Not sure
- 6.If you had a patient encounter where more than 50% of the visit was taken up with counseling, what kind of coding should you choose?
- A.
A. E&M coding
- B.
B. Time-based coding
- C.
C. Key component coding
- D.
D. Not sure.
- 7.
- A.
A. When the service is delivered by an RN only
- B.
B. When the service is delivered by an LVN, RN, or PHN
- C.
C. When certain brief services are delivered by ancillary staff, e.g., counseling and education.
- D.
D. Not sure.
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