Digital Review & Assignment 8

A  Only those who are present during the encounter.

B  Only the patient’s immediate family.

C  Only those who are responsible for patient care or decision-making, such as foster parents or a legal guardian.

D  Those who are responsible for patient care or decision-making, such as foster parents or a legal guardian, but payer rules may differ.

A  If they make up more than 50% of the encounter

B  If they make up more than 90% of the encounter

C  If they make up more than 25% of the encounter

D  If they make up more than 75% of the encounter

A  Code 99211 should be selected

B  Code 99429 should be selected for unlisted preventive medicine services

C  Code 99499 should be selected for unlisted evaluation and management services

A  TRUE

B  FALSE

A  The documented total time

B  The patient’s address

C  The patient’s age

D  The color of the patient’s clothing

A  Neither one of the options

B  Only face-to-face time

C  Both face-to-face time and unit/floor time, depending on the type of service

D  Only unit/floor time

A  Whenever they want

B  When counseling and coordination of care dominate the visit

C  When the patient requests it

D  When key components dominate the visit

A  Performance and interpretation of diagnostic tests

B  Reviewing laboratory results

C  Performance and interpretation of diagnostic tests & Ordering diagnostic tests

D  Ordering diagnostic tests

A  When history and exam components are not documented.

B  When the physician spends more than 50% of the time arranging further services for the patient.

C  When the physician spends more than 50% of the time reviewing records and tests.

D  When counseling, coordination of care, or both make up more than 50% of the face-to-face time with the patient or family or more than 50% of the floor or unit time.

A  The time the physician spends reviewing records and tests or arranging further services for the patient.

B  The time spent on pre- and post-encounter activities.

C  The duration of time the physician spends with the patient and their family, including history-taking, examination, and counseling.

D  The duration that the physician spends providing services for the patient while being present on the patient’s facility unit and at the patient’s bedside.

A  The duration of time the physician spends with the patient and their family, including history-taking, examination, and counseling.

B  The time spent on pre- and post-encounter activities.

C  The duration that the physician spends providing services for the patient while being present on the patient’s facility unit and at the patient’s bedside.

D  The time the physician spends reviewing records and tests or arranging further services for the patient.

A  The insurance company’s reimbursement policies

B  The applicable guidelines

C  The physician’s notes

D  The patient’s medical history

A  When documentation is unclear or incomplete

B  When key components of the service provided are met

C  When counseling and coordination of care dominate the visit

D  When intraservice times exceed typical time ranges

A  The typical amount of time spent on the service level

B  The time spent coordinating care and counseling the patient

C  The total time spent on the date of the encounter

D  The actual time spent performing the service or procedure on a patient

A  To track a patient’s progress over time and make informed decisions about their treatment plan

B  All of the reasons listed apply

C  To comply with regulations and ensure accurate billing practices

D  To justify reimbursement for billed services from insurance companies