2023 Evaluation and Management Service Guidelines – Emergency Medicine Coder Training – Part 2 of 4 This webinar is AAPC-approved for 1.0 CEUs and/or CEDC, and all specialties except CIRCC and CASCC provided you score a 70% or higher on the post test. Test takers should read all test instructions, and complete the Required Information fields at the top of the test. This test consists of 10 questions. Please select one best answer for each test question by clicking on the square next to the answer you have selected. This test is not timed; however, the test must be taken in one sitting. When all 10 questions have been answered, please click on the Submit Test button. Your score, as well as logic-reach reasoning for answers to any test questions that you missed, will be displayed immediately following completion and successful transmission of this test. For technical support for your Emergency Medicine Coding and Reimbursement Webinar Library subscription please call or email: Cari Laplace Webinar Technical Support Administrator BSA Healthcare Phone: 1-561-434-4740 Email: claplace@bsanda.com NameCompany NameEmailTrue or False: The 2023 CPT manual defines a “problem” as a diagnosed disease, condition, illness, injury, symptom, sign, finding, complaint, or other matter addressed at the time of an encounter. True FalseWhich of the following does “problem addressed” NOT include: Consideration of further testing or treatment that may not be elected due to risk/benefit analysis. Notation in the patient’s medical record that another physician is managing the problem without additional assessment or care coordination or referral to another physician without evaluation of the patient or consideration of treatment. Consideration of further testing or treatment that may not be elected due to patient/parent/guardian/surrogate choice. All of the above would qualify as “problem addressed.”How is a stable, chronic illness defined? A problem that runs a definite and prescribed course, is transient in nature, and is not likely to permanently alter health status. A problem that is new or recent for which treatment has been initiated. The patient is improved, and while resolution may not be complete, is stable with respect to this condition. A problem with an expected duration of at least one year or until the death of the patient. A problem that is normally self-limited or minor but is not resolving consistent with a definite and prescribed course.Which of the following qualifies as low COPA (found in 99283 code choice): A patient presents for a wound recheck with focus on the wound only (suture removal, dressing changes or packing removal). A patient presents with a sore throat and a headache and is discharged with instructions to use an OTC treatment. A patient presents with diabetes and hypertension with controlled blood sugar level and controlled BP. Illnesses that have develop associated signs or symptoms, or require testing or imaging or necessitate treatment with prescription strength medications.True or False: According to the 2023 CPT® manual, a patient’s final diagnosis determines final complexity and/or risk level. True. False.According to the new 2023 CPT manual, which of the following patients would be considered “stable”: An asymptomatic patient with persistent, poorly controlled high blood pressure for whom better control is a goal. A patient with persistent hypertension presents to the ED and requires administration of oral medication. A recently diagnosed diabetic patient presents to the ED with a blood glucose of 350 requiring IV fluids. An asymptomatic patient with a history of hypertension who has been compliant in taking the anti-hypertensive meds that the patient has been prescribed by his or her PCP.How is an acute illness with systemic symptoms defined? An illness that causes systemic symptoms and has a high risk of morbidity without treatment. All illness that causes systemic symptoms but poses no risk of patient morbidity without treatment. All illness that causes systemic symptoms and poses a high risk of patient mortality without treatment. A minor illness that may be treated to alleviate symptoms.Which of the following problems is associated with High COPA? Undiagnosed new problem with uncertain prognosis. Chronic illness with severe exacerbation, progression, or side effects of treatment. Acute illness with systemic symptoms. Chronic illness with exacerbation, progression, or side effects of treatment.Which of the following patient presentations would indicate a chronic illness with severe exacerbation, progression, or side effects of treatment:? A patient who presents to the ED with COVID-19 with severe shortness of breath and chest pain. A patient who presents to the ED with congestive heart failure with severe shortness of breath and swelling in the extremities. A patient who presents to the ED in anaphylactic shock after having been stung by a bee. A patient who arrives at the ED via EMS who has been in a MVC and has suffered a head injury with LOC.True or False: An acute illness with systemic symptoms, an acute complicated injury, or a chronic illness or injury with exacerbation and/or progression or side effects of treatment all pose a threat to life or bodily function in the long term without treatment True False
