Hospitalist E/M Coding Explained – Part 1 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 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 NameCompany NameEmailThe three complexity tables help to define the level of which of the three key elements of Evaluation & Management coding: Exam History Medical Decision Making (MDM) Review of Systems (ROS)In Table A: Diagnosis and Management Options, which of the following would NOT count as part of additional work-up planned: Review of results from the ED encounter that resulted in admission The patient’s initial exam that was performed prior to admission from the ED Request for a consultation from another provider following admission of the patient Order of ancillary and/or special studies following admission of the patientTrue or false: It is NOT critical to document any new problem that arises provided all ancillary studies intended to evaluate that problem and therapeutic interventions to treat it are documented on the patient’s record for that DOS. True FalseTrue or false: When choosing an evaluation and management code for each day, it is not necessary to repeat orders in the body of each day’s progress notes if the coder has access to each visit’s orders. True FalseWhich of the following does old record review NOT include: Lab values Old x-rays or special studies Old EKGs New ancillary studies orderedMedical Decision Making includes which of the following: Old record review, conversations with family, medical surrogates, or other providers, and visualization and interpretation of images (x-rays, CT, MRIs, ultrasounds, and EKGs) Completing a comprehensive History Performing a comprehensive Exam Documenting an interval historyIn Table C: Risk of Complications and/or Morbidity or Mortality, a patient that received no ancillary studies, no medication, and no prescriptions on discharge would qualify as which level of risk: Moderate Straightforward/Low High None of the aboveIn Table C: Risk of Complications and/or Morbidity or Mortality, which of the following would NOT qualify as a moderate level of risk: A provider performs a re-exam of a patient on the same day A patient receives an Eye exam and fluorescein dye is used A patient who undergoes an acute change in mental status A pregnant patient who has any complaintIn Table C: Risk of Complications and/or Morbidity or Mortality, which of the following therapies would NOT qualify as a high level of risk if ordered alone: Oxygen IV medication IV fluids Two or more nebulizersIn Table C: Risk of Complications and/or Morbidity or Mortality, a patient who receives an x-ray and two IM non-controlled medications would qualify as what level of risk: Straightforward Low Moderate High
