Digital Review & Assignment 8

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

B  Only the patient’s immediate family.

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

D  Only those who are present during the encounter.

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

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

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

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

A  Code 99211 should be selected

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

C  Code 99429 should be selected for unlisted preventive medicine services

A  FALSE

B  TRUE

A  The patient’s age

B  The documented total time

C  The patient’s address

D  The color of the patient’s clothing

A  Neither one of the options

B  Only face-to-face time

C  Only unit/floor time

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

A  When counseling and coordination of care dominate the visit

B  Whenever they want

C  When key components dominate the visit

D  When the patient requests it

A  Performance and interpretation of diagnostic tests

B  Ordering diagnostic tests

C  Performance and interpretation of diagnostic tests & Ordering diagnostic tests

D  Reviewing laboratory results

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

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

C  When history and exam components are not documented.

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 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.

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

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

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

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 applicable guidelines

B  The physician’s notes

C  The insurance company’s reimbursement policies

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 actual time spent performing the service or procedure on a patient

B  The typical amount of time spent on the service level

C  The total time spent on the date of the encounter

D  The time spent coordinating care and counseling the patient

A  To comply with regulations and ensure accurate billing practices

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

C  All of the reasons listed apply

D  To justify reimbursement for billed services from insurance companies