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Medical Decision Making, Medical Necessity, and Payer Audits

This webinar is AAPC-approved for 1 CEU that can be designated as Core A and/or 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

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Using the Marshfield Clinic tool, how is MDM measured in the emergency medicine coding industry:
In Table B: Amount and Complexity of Data Reviewed, review and/or order of x-rays garners how many points:
The decision on behalf of the treating provider to obtain old records and/or obtain history from someone other than the patient is worth 1 point in which of the following tables:
In Table C: Risk Table, two or more self-limited or minor problems falls under which category of risk:
In Table C: Risk Table, an abrupt change in neurologic status falls under which category of risk:
Cases that are properly coded at E/M Level 99284 generally signify that the patient in question was suffering from a condition or conditions that is/are high severity and pose an immediate, significant threat to life or physiologic (bodily) function.
If either Table A or B is at four points or greater, and Table C is at high risk, and if the history and exam are comprehensive, the correct Evaluation and Management (E/M) code should be:
In Table C: Risk Table, administration of parenteral controlled substances would fall under which level of risk:
Which of the following orders generally indicate that a case is a high severity case that poses an immediate, significant threat to life or physiologic function and would, therefore, usually represent an E/M level 99285-type case:
Administration of IV moderate sedation with or without a work-up generally signifies a high severity, E/M level 99285-type of case.