Digital Review & Assignment 6

A  All of the reasons listed apply

B  By identifying trends and patterns over time

C  By providing an accurate record of the level of care delivered to each patient

D  By enabling the collection and comparison of data between different providers and organizations

A  Underpayment

B  Denial of reimbursement

C  Overpayment

D  All of the reasons listed apply

A  50%

B  25%

C  10%

D  75%

A  To avoid audits and investigations

B  All of the reasons listed apply

C  To ensure healthcare providers receive appropriate reimbursement

D  To generate reliable data for healthcare analysis

A  Neither one of the options

B  An individual who has not received any professional face-to-face services from the physician or qualified healthcare professional providing the current E&M service within the preceding three years

C  An individual who has received professional face-to-face services within the last three years from the physician or qualified healthcare professional who is currently providing E&M services

D  Both

A  An individual who has not received any professional face-to-face services from the physician or qualified healthcare professional providing the current E&M service within the preceding three years

B  An individual who has received professional face-to-face services within the last three years from the physician or qualified healthcare professional who is currently providing E&M services

C  Neither one of the options

D  Both

A  the patient’s insurance coverage

B  how complex and detailed the medical encounter is

C  how much time the physician spends providing the service

D  how much time the patient spends with the physician

A  to reflect diversity in each healthcare professional’s skills, knowledge, and effort

B  to avoid linkage to fraudulent practices and behaviors

C  to provide a range of options for patients

D  to ensure accurate coding

A  3-5

B  1-2

C  9-10

D  6-8

A  to provide care to a patient

B  to assign the appropriate E&M code

C  to specify that portions of the 1995 and 1997 guidelines could be combined

D  to avoid confusion

A  the 1997 and 2007 Documentation Guidelines

B  the 1995 and 2005 Documentation Guidelines

C  the 1995 and 1998 Documentation Guidelines

D  the 1995 and 1997 Documentation Guidelines

A  portions of the 1995 and 1997 Documentation Guidelines

B  the patient’s history, examination, and medical decision making

C  Medicare Administrative Contractors and private payers

D  counseling, coordination of care, presenting problem, and time

A  to self-determine which set of guidelines to follow

B  to assign the appropriate E&M code

C  to avoid confusion

D  to provide care to a patient

A  resources used by a physician to provide care to a patient

B  the patient’s history, examination, and medical decision making

C  counseling, coordination of care, presenting problem, and time

D  Medicare Administrative Contractors and private payers

A  5

B  3

C  2

D  4