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CMS vs. CPT® E/M Coding Requirements and Payer Considerations and Admissions and Transfers Case Level Severity Review

This webinar is AAPC-approved for 1.5 CEU and/or Core A, CEDC, and all specialties except CIRCC and CASCC specialty credits 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 15 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 15 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.

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Cari Laplace
Webinar Technical Support Administrator
BSA Healthcare
Phone: 1-561-434-4740
Email: claplace@bsanda.com

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In the Review of Systems, how many systems does CMS require that a provider document in order to code E/M Level Four or 99284?
The CPT manual indicates that a provider must document an “Extended” HPI in order to code an E/M Level Four or 99284, or an E/M Level Five or 99285. CMS requires documentation of how many elements in order to code an E/M Level Four or 99284, or an E/M Level Five or 99285?:
In the Review of Systems, how many systems does CPT require that a provider review and then document in order to code E/M Level Five or 99285?
In the Review of Systems, how many systems does CMS require that a provider document in order to code E/M Level Five or 99285?
In order to obtain an E/M Level Five or 99285, CMS requires that a provider document one item from 2 of the 3 of the Past, Family or Social History (PFSH); however, the CPT manual requires documentation of:
In order to obtain an E/M Level Five or 99285, CMS requires that a provider document 8 systems in the Exam portion of a record ; however, the CPT manual requires documentation of:
Teaching physicians are not required to document that they performed key portions of any patient services, nor that they were directly involved in patient management.
In CMS Memo 1548 dated July 2008, Teaching Physicians who are treating Critical Care-type patients are required to document which of the following:
CMS and CPT Critical Care documentation requirements are identical with the exception of requirements for which of the following:
CMS and CPT documentation requirements are identical for which of the following:
Admissions and transfers each receive four points in Table A (DMO Table).
Which of the following cases is an example of a High Risk Level Five-type case that required admission, but no work-up:
Which of the following cases is an example of a High Risk Level Five-type case that may require an admission and a work-up, but no therapy:
Which of the following cases is an example of a High Risk Level Five-type case that required admission, and a work-up as well as therapy.
Which of the following cases is an example of a High Risk Level Five-type case that required admission, and a work-up as well as therapy.