Digital Review & Assignment 8

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

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

C  Only those who are present during the encounter.

D  Only the patient’s immediate family.

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 99429 should be selected for unlisted preventive medicine services

B  Code 99211 should be selected

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

A  TRUE

B  FALSE

A  The patient’s age

B  The documented total time

C  The patient’s address

D  The color of the patient’s clothing

A  Only unit/floor time

B  Only face-to-face time

C  Neither one of the options

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

A  When the patient requests it

B  Whenever they want

C  When counseling and coordination of care dominate the visit

D  When key components dominate the visit

A  Reviewing laboratory results

B  Performance and interpretation of diagnostic tests & Ordering diagnostic tests

C  Ordering diagnostic tests

D  Performance and interpretation of diagnostic tests

A  When history and exam components are not documented.

B  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.

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

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

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

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

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 spent on pre- and post-encounter activities.

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 counseling and coordination of care dominate the visit

B  When key components of the service provided are met

C  When intraservice times exceed typical time ranges

D  When documentation is unclear or incomplete

A  The total time spent on the date of the encounter

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

C  The typical amount of time spent on the service level

D  The time spent coordinating care and counseling the patient

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

B  To justify reimbursement for billed services from insurance companies

C  All of the reasons listed apply

D  To comply with regulations and ensure accurate billing practices