Critical Care Overview for the Hospitalist Provider

This webinar is AAPC-approved for 1.0 Core A CEU, and/or CIRCC, 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 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 Hospitalist Medicine Provider Documentation and Coding Webinar Library subscription please call or email:
Cari Laplace
Webinar Technical Support Administrator
BSA Healthcare
Phone: 1-561-434-4740
Email: claplace@bsanda.com

Name

Company Name

Email

According to CMS Memo 1548, Critical Care is:

Treatment of vital organ failure.

Prevention of further life-threatening deterioration of the patient’s condition.

Treatment and management based on threat of imminent deterioration.

All the above.

True or false: Disposition is not a part of patient management and is not a Critical Care intervention.

True

False

Proper application of Evaluation and Management Code 99291 requires full attention to the Critical Care patient for between:

30 and 72 minutes

30 and 74 minutes

30 and 60 minutes

Each 30 minute period following the initial 74 minutes.

Proper application of Evaluation and Management Code 99292 is used to report which of the following:

Additional block(s) of time, of up to 30 minutes each beyond the first 74 minutes of Critical Care.

Additional block(s) of time, of up to 74 minutes each beyond the first 30 minutes of Critical Care.

The first 30 to 74 minutes of Critical Care time.

Additional block(s) of time, of up to 74 minutes each beyond the first 74 minutes of Critical Care.

A hospitalist sees a stable patient in the morning for a subsequent care visit and the patient is doing well, but the patient rapidly declines in the afternoon and requires Critical Care intervention by the same hospitalist provider. What codes would be appropriate to report for these services?

The provider is permitted to report a subsequent care code and E/M Critical Care Code 99291

The provider can only report E/M Critical Care Code 99291

The provider can only report the subsequent care code

The provider should report E/M Critical Care Code 99292

True or false: If a provider performs a spinal tap (i.e., lumbar puncture) on a Critical Care patient, the provider must document that “the time it took to perform billable procedures has been subtracted from Critical Care time”.

True

False

If two providers from the same group and same specialty render Critical Care services to a patient, which of the following is true:

Both providers can report Critical Care code 99291.

Neither provider is permitted to bill Critical Care code 99291 in this scenario.

Both providers can report Critical Care code 99291 if the patient is a Medicare patient.

Only one of the two providers should report Critical Care code 99291.

With regards to proper reporting of Critical Care code 99291, two providers from different specialties:

Can report Critical Care rendered to the same patient on the same date regardless of the patient’s payer.

Neither provider is permitted to bill Critical Care in this scenario.

Can report Critical Care rendered to the same patient on the same date unless the patient is a Medicare patient.

Can only report Critical Care rendered to the same patient on the same date if the patient is a Medicare patient.

If a hospitalist provider renders Critical Care services to a Medicare patient from 7 pm to 9 pm, and a second provider from a different specialty renders Critical Care services to the same patient from 8 pm to 10 pm, both providers are:

Permitted to bill Critical Care code 99291.

Permitted to bill Critical Care codes 99291 and 99292.

Prohibited from counting the 60 minutes of service that occurred from 8 pm to 9 pm towards their individual Critical Care time. Only one provider can bill Critical Care in this scenario.

Prohibited from billing Critical Care code 99291 unless they are from the same specialty.

Proper application of Critical Care code 99291 requires full attention to the patient for between greater than 30 minutes up to 74 minutes. Which of the following cannot be counted towards Critical Care time?:

Bedside care and order and review of ancillary studies

Time to perform separately billable procedures

Conversations with family, nursing, and other providers

Chart Completion