Critical Care: What qualifies and what doesn’t This webinar is AAPC-approved for 1.0 CEU. Can be used for Core A 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 NameEmailCritical Care encompasses which of the following: A high probability of imminent or life-threatening deterioration. The highest level of doctor preparedness. Direct, personal management by the provider. All the above.Proper application of Critical Care code 99291 requires that a provider spend between ____ and ____ minutes treating the patient: Between 20 and 45 minutes. Between 30 and 74 minutes. Between 15 and 30 minutes. Between 75 and 90 minutes.Proper application of Critical Care code 99292 requires that a provider spend ____ minutes treating the patient: 30 minutes beyond the initial 74 minutes required to fulfill the 99291 requirement an additional 74 minutes beyond the initial 74 minutes required to fulfill the 99291 requirement an additional 60 minutes beyond the initial 74 minutes required to fulfill the 99291 requirement an additional 90 minutes beyond the initial 74 minutes required to fulfill the 99291 requirementIf a provider has documented 109 minute of critical care time on a patient record, which codes should be billed on this claim: 99291 x 1 and 99292 x 1 99291 x 1 and 99292 x 2 99291 x 1 99292 x 3True or False: The time it takes to document a patient encounter does not count towards Critical Care time. True FalseWhich of the following chest pain presentations does NOT qualify for Critical Care? Patient who is diagnosed with an aortic dissection. Patient with a STEMI (i.e., ST segment elevated Myocardial Infarction). Patient who is admitted to a monitored bed following a chest pain work-up consisting of an EKG, a chest x-ray, cardiac enzymes, and baseline blood work. Patient who is diagnosed with elevation in cardiac enzymes with no ST segment changes (Non-STEMI).Which of the following abdominal pain presentations qualifies for Critical Care given proper documentation of Critical Care time greater than 30 minutes? Abdominal pain requiring IV medications to treat paid and nausea (i.e., Morphine and Zofran). Ectopic pregnancy with vital sign abnormality or near immediate surgical intervention. Abdominal pain requiring IV fluids. Abdominal pain requiring a CT of the abdomen and pelvis, and/or an ultrasound of biliary system, aorta, or renal in order to rule out multiple etiologies of the pain.Which of the following shortness of breath presentations DOES NOT generally qualify for Critical Care? Shortness of breath with multiple nebulizers, IV Solu Medrol or oral Prednisone, possibly IV Magnesium, and basic labs including D-Dimer or Pro-BNP, CXR, and possibly an EKG. Metabolic problems such as DKA, ASA overdose, or acute renal failure. Placement of pacemaker or need to cardiovert a patient, either electrically or chemically. Acute pulmonary edema or congestive heart failure with IV nitroglycerine drip or other vasoactive medication.Which of the following trauma scenarios DOES NOT generally qualify for Critical Care? Need for placement of large bore IV cannulas to treat hypotension related to possible blood loss. Need for type specific, O negative, or O positive blood transfusion. Need to order multiple CT scans, an e-FAST or FAST exam, IV fluids, and possibly IV pain medication including Fentanyl, Morphine, or Dilaudid in a patient with normal vital signs. Need for rapid infusion of IV fluids (i.e., 2 L rapidly).Which of the following rectal bleeding presentations DOES NOT qualify for Critical Care given proper documentation of Critical Care time greater than 30 minutes? IV stat bolus of two liters of NS or LR. Type and cross or ordering blood but not administering it in the Emergency Department. Giving blood or blood products in the ED (i.e., packed cells, platelet packs, Factor VIII, type specific, or universal blood). Anemia with active bleeding.
