Observation Documentation and Coding in Emergency Medicine

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.

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BSA Healthcare
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Email: claplace@bsanda.com

Name

Company Name

Email

Code 99236 is used to indicate:

More than one calendar day, over midnight.

Same day observation

Discharge from observation

Holding of psych patients

Code 99217 indicates patient discharge from observation and must include:

Documentation of the final exam, discussion of the observation stay, and follow-up instructions

E/M code 99218

E/M code 99219

E/M code 99220

Code 99219 is used to indicate:

More than one calendar day (over midnight), moderate-complexity MDM

Discharge from observation

More than one calendar day (over midnight), low-complexity MDM

Same day observation and discharge

A patient should not be placed in observation for the following :

Chest pain

Abdominal pain

Metatarsal stress fracture

Sickle cell crisis

What is the CMS allowable payment range for established observation codes 99224, 99225, and 99226?

$10.13 to $25.50

$39.88 to $106.72

$85.10 to $120.50

None of the above

What is the CMS allowable payment range for over-midnight observation codes 99217 -99220?

$10.13 to $25.50

$73.66 to $188.65

$85.10 to $120.50

None of the above

Appropriate documentation of observation should include:

A timed order to “place in observation”

Documentation of medical necessity explaining diagnostic uncertainty or therapeutic intensity

Order for care and work-up during observation

All of the above

Which of the following is indicative of an observation code 99224-type case:

MDM is straightforward or low complexity and the patient is stable, recovering or improving

The patient develops a significant complication or a new problem

MDM is of moderate complexity

The patient is responding inadequately to treatment

Which payer requires that a patient spend a minimum of 8 hours in observation?

Cigna

Aetna

Medicare

United Healthcare

All E/M services provided by a supervising physician are considered part of the initial observation care on the same date.

True

False