Coding... EWWW Flashcards Preview

Clinical Assessment 2 > Coding... EWWW > Flashcards

Flashcards in Coding... EWWW Deck (33):
1

A patient is new if they haven't been seen by your GROUP in the past ___ years (same specialty.

3

2

What are the three elements of E&M? (evaluation and management)

History
Exam
Medical Decision Making

3

How many ROS are recognized by CMS?

14 ROS

4

In order for a patient completed checklist to count for ROS, what must you do?

Review it with the patient (document this)
Note the date and location of the checklist

5

In order to bill a 4 or 5 for a new patient, how many ROS do you need?

10

6

In order to bill a 4 or 5 for a new patient, how many HPI components do you need?

4

7

In order to bill a 4 or a 5 how many components of the PE do you need?

8

8

What differentiates a 4 from a 5?

Medical decision making and time.
High medical decision making and 60 min of time denote a 5
Moderate MDM and 45 min denote a 4

9

How many organ systems are there?

12

10

Are extremities an organ system?

No

11

What system is is LE edema under?

CV

12

JVP and carotid bruits are located under what?

CV

13

EOMs are located under what PE category?

Neuro (not eyes)

14

Gait and strength are located under which PE?

MSS

15

To code a 1 how many HPI do you need? Exam? Time?

Only 1 HPI (no ROS or PFSH)
1 PE
straight-forward MDM
10 minutes

16

To code a 2 what do you need?

1 HPI
1 ROS
2 PEs
straight-forward MDM
20 minutes

17

To code a 3 how many ROS do you need?

2 ROS

18

To code a 3 how many PFSH do you need?

1

19

How many PE do you need for a 3?

5

20

MDM is ____ for a 3.

low

21

About how much time should a 3 take?

30 minutes

22

For an established patient visit how many elements of history, exam, and MDM do you need?

Only 2 or the 3

23

What should drive coding?

MDM and medical necessity

24

For a return patient, outpatient visit, what is the lowest you can code?

2

25

To code a 4 or 5 for a return patient, outpatient visit you need ___ things in HPI or ___ chronic items.

4 in HPI
or 3 chronic

25

To code a 4 or 5 for a return patient, outpatient visit you need ___ things in HPI or ___ chronic items.

4 in HPI
or 3 chronic

26

To code a 4 for a return patient you need ___ ROS and ___ PE and ___ PFSH

2 ROS
5 PE
1 PFSH

26

To code a 4 for a return patient you need ___ ROS and ___ PE and ___ PFSH

2 ROS
5 PE
1 PFSH

27

If you review a test yourself how many MDM points can you get?

2

28

If you document date from old records or history from mothers how many point do you get?

2 points

29

If greater than ____ % of patient encounter is spent w/ face to face counseling you can bill for counseling time.

50 %

30

Do you need a CC or HPRI for preventative services?

No

31

To code a 5 for a returning patient you need ___ ROS, ____ PFSH and ____ PE

10 ROS
3 PFSH
8 Exam