Question 1_4 out of 4 points
A patient is seen by Dr. B who is covering on call services for Dr. A. The patient is an established patient with
... [Show More] Dr.
A. but she has not been seen by Dr. B. before. Which E/M subcategory is appropriate to report the services
provided by Dr. B?
Selected Answer: a.
Established patient office visit
Correct Answer: a.
Established patient office visit
Response
Feedback:
Rationale: According to the E/M Guideline for New and Established Patient, when a provider is
on call or covering for another provider, the patient’s encounter will be classified as it would
have been by the provider who is not available. In this instance, Dr. B would report an
established patient office visit.
Question 2_4 out of 4 points
What category of codes should be used to report an evaluation and management service provided to a patient
in a psychiatric residential treatment center?
Selected Answer: b.
Nursing facility services
Correct Answer: b.
Nursing facility services
Response
Feedback:
Rationale: The guidelines for Nursing Facility Services state, “These codes should also be used
to report evaluation and management services provided to a patient in a psychiatric
residential treatment center.”
Question 3_4 out of 4 points
A PCP transfers a patient to a cardiologist for management of the patient’s congestive heart failure. The
cardiologist examines the patient, discusses treatment options and schedules a stress test for this new patient.
A report is sent to the PCP detailing the findings of the office visit, results of the stress test and intent to
manage and treat the congestive heart failure. An E/M code would be selected from what subcategory for the
cardiologist?
Selected Answer: a.
New patient office visit
Correct Answer: a.
New patient office visit
Response Rationale: The PCP transferred the patient to the cardiologist to manage/treat the congestive
Feedback: heart failure. The cardiologist accepted the transfer of care of the patient and sent a letter to
the PCP with findings of the first visit and stress test. This would be coded as a new patient
since the cardiologist accepted the patient and is taking over the care of a specific problem.
Question 4_4 out of 4 points
A provider admits Mrs. Smith to the hospital. She is there for five days. The provider sees her each day she’s in
the hospital. What subcategory of E/M codes would be used for days two, three and four?
Selected Answer: a.
Subsequent Hospital Care
Correct Answer: a.
Subsequent Hospital Care
Response
Feedback:
Rationale: Codes from the Subsequent Hospital Care subcategory would be used for days two,
three and four. The code for the first day would be from the Initial Hospital Care subcategory.
Day five could be reported with either subsequent hospital care or hospital care discharge
depending on the role of the provider.
Question 5_4 out of 4 points
Fred is fishing at the local area lake while on vacation. He gets lightheaded and dizzy and goes to the local
hospital Emergency Department. He’s evaluated by the ED provider. This is the first time he has been to this
hospital. What subsection is used to report the ED visit?
Selected Answer: a.
Emergency Department Services
Correct Answer: a.
Emergency Department Services
Response
Feedback:
Rationale: No distinction is made between new and established patients in the emergency
department. Evaluation and Management services provided in an Emergency Department are
reported w [Show Less]