Digital Review & Assignment 6

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

B  By identifying trends and patterns over time

C  All of the reasons listed apply

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

A  Underpayment

B  Overpayment

C  Denial of reimbursement

D  All of the reasons listed apply

A  50%

B  75%

C  10%

D  25%

A  To ensure healthcare providers receive appropriate reimbursement

B  To avoid audits and investigations

C  All of the reasons listed apply

D  To generate reliable data for healthcare analysis

A  Both

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  Neither one of the options

D  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

A  Neither one of the options

B  Both

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  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

A  the patient’s insurance coverage

B  how complex and detailed the medical encounter is

C  how much time the patient spends with the physician

D  how much time the physician spends providing the service

A  to avoid linkage to fraudulent practices and behaviors

B  to provide a range of options for patients

C  to ensure accurate coding

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

A  1-2

B  6-8

C  9-10

D  3-5

A  to assign the appropriate E&M code

B  to avoid confusion

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

D  to provide care to a patient

A  the 1995 and 2005 Documentation Guidelines

B  the 1995 and 1998 Documentation Guidelines

C  the 1997 and 2007 Documentation Guidelines

D  the 1995 and 1997 Documentation Guidelines

A  portions of the 1995 and 1997 Documentation Guidelines

B  Medicare Administrative Contractors and private payers

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

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

A  to self-determine which set of guidelines to follow

B  to provide care to a patient

C  to avoid confusion

D  to assign the appropriate E&M code

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

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

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

D  Medicare Administrative Contractors and private payers

A  5

B  2

C  4

D  3