Critical Care in Emergency Medicine – A Review of Common Questions from Coding Educators, QA Coordinators, and Compliance Professionals This webinar is AAPC-approved for 1.0 CEU. Can be split between Core A, CEDC, CEMC and CPMA 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 NameEmailWhich of the following is not included in critical care services? Chest x-ray Pulse oximetry Chest tube Computer dataWhich of the following is considered a critical care intervention? Pacemaker Lumbar puncture or spinal tap Intubation; Bipap or CPAP All the aboveA patient presents to the ED with chest pain and is diagnosed by the ED provider with an acute MI. The patient receives thrombolytic meds in the ED. Assuming proper documentation of critical care time and the history and exam, what level of risk would this encounter qualify for: Critical Care Moderate Risk High Risk Low RiskTrue or False: Overdose by a patient with many medications (e.g., tri-cyclic antidepressants) can cause cardiac dysrhythmia, but no chance of death. True FalseTrue or False: Assuming documentation of critical care time by the provider, if a patient presents to the ED with a blood pressure reading of 66/40, would this vital sign indicate the potential of a critical care-type case? True FalseA patient presents to the ED and is diagnosed with anemia. Which of the following would be considered a critical care finding, intervention, or management option? Order and administration of one dose of Haldol or Ativan for agitation (not anxiety alone) Administration of blood or blood products in the ED Flank pain, kidney stone, or pyelonephritis evaluation with lab work-up (3 labs) w/out CT of the abdomen/pelvis Four or > sets of x-raysA patient presents to the ED complaining of abdominal pain and is diagnosed with a small bowel obstruction. Which of the following does not apply? A partial small bowel obstruction may cause severe abdominal pain and may lead to hypotension, though this is rare May call for order and administration of IV fluids, an NG tube, and possible near-term surgical intervention Can lead to severe dehydration and subsequent electrolyte imbalance May require an antidote like N-Acetylcystine (Mucomist) for Tylenol overdoseIf a provider has documented 130 minutes of critical care time, which codes should be used on this claim? 99291 x 1 and 99292 x 3 99291 x 1 and 99292 x 2 99291 x 1 99291 x 2 and 99292 x 2Which of the following clinical scenarios would be considered a critical care-type case? Chest pain mandating a cardiac work-up, including an EKG, cardiac enzymes (e.g., CPK isoenzymes and/or Troponin), a chest x-ray, and labs. Abdominal pain and cramping and pelvic pain that results in a spontaneous abortion. Administration of one dose of IV or IM Haldol or Ativan to treat a significantly agitated patient who is exhibiting violent behavior. An acute MI with CPR performed throughout the entire visit.Which of the following would be considered a critical care finding, intervention, or management option? Respiratory rate of > 30 and a pulse oximetry of < 90. Order and administration of one does of Adenosine. An adult with a systolic BP of > 200 or < 90 and a diastolic BP of > 100 or < 60. Post-traumatic need for uterine monitoring in L&D for a pregnant female who is > 24 weeks pregnant.
