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jessicakissinge jessicakissinge
wrote...
Posts: 493
Rep: 4 0
6 years ago
A service that is performed by a physician is considered an incident to service.
 
  Indicate whether this statement is true or false.



(Q. 2) Evaluation and Management services are complex services comprised of a number of components, requirements and guidelines. Please identify what you have found the MOST helpful aspect of E/M services, medical documentation of E/M service, and E/M coding.
 
  What will be an ideal response?



(Q. 3) Evaluation and Management services are complex services comprised of a number of components, requirements and guidelines. Please identify what you have found the most challenging aspect of E/M services, medical documentation of E/M service, and E/M coding.
 
  What will be an ideal response?



(Q. 4) Different categories of E/M service require the documentation of the content of service to report correctly the performed service, while other categories of E/M service do not require the documentation of content of service to report correctly the performed service. Select one category of an E/M service that requires the documentation of the content of service and compare these two categories of service, addressing the specific aspects of the performed service, as well as the documentation requirements.
 
  What will be an ideal response?



(Q. 5) How do the helpful tools and information provide support when reviewing medical documentation of E/M service visits? Explain how the NCCI edits, Medicare Claims Processing Manual, and CMS provide useful resources, support to the 1995, 1997 Documentation Guidelines, and the CPT manual.
 
  What will be an ideal response?



(Q. 6) Incident to services can be useful; however, the guidelines for incident to services can be very confusing. Explain how the guidelines for incident to services and shared/split visit are different from an E/M service performed by a physician.
 
  What will be an ideal response?



(Q. 7) Initial comprehensive preventive medicine services are any preventive medicine services that occur after the first comprehensive preventive medicine service that is performed for a patient by the physician.
 
  Indicate whether this statement is true or false.



(Q. 8) Medical documentation is the record of healthcare provided to the patient at the healthcare facility, which may be in the form of handwritten or typed narratives, reported diagnostic results, diagnostic images or scans, or other records.
 
  Indicate whether this statement is true or false.



(Q. 9) Medicare is a federal insurance program that provides insurance for people of the United States over the age of 65 and for those with disabilities, or anyone with end-0state renal disease; founded in 1965 and monitored by the Center for Medicare and Medicaid Services
 
  Indicate whether this statement is true or false.



(Q. 10) Which of the following BEST defines an observation status?
 
  A. Any category of E/M services that occur in a clinical location that does not require the patient to be admitted for evaluation and management; most commonly identified as a clinical setting to which a patient presents for medical care and then leaves after the service is completed, such as a physician's clinic office
  B. Any of the numeric codes representing E/M services that may be reported only in conjunction with a different E/M service and may never be listed independently
  C. Any category of E/M services that occur when the patient has been admitted to a hospital setting for the purpose of evaluation and/or treatment
  D. The designation given when the patient's clinical presentation requires the physician performing the E/M service to closely monitor the patient's health before a final determination can be made
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wrote...
6 years ago
1)  TRUE

2)  Answers should include (but may not be limited to) the following:
 Identification of the specific content of service element, category or subcategory, modifier, or documentation guideline the reader finds most helpful.

3)  Answers should include (but may not be limited to) the following:
 Identification of the specific content of service element, category or subcategory, modifier, or documentation guideline the reader finds most challenging.

4)  Answers should include (but may not be limited to) the following:
 Compare and contrast the two selected categories of E/M service, addressing the requirements for:
o Place of servcie
o content of service
o Intraservice time
o Intent of E/M service provided

5)  A. CMS collaborates with the National Uniform Claims Committee to maintain and update the UB-04 claim form and the CMS-1500, which should be completed and used when submitting any Medicare or Medicaid claim.
B. CMS manages and provides oversight for Medicare and Medicaid, which has a variety of helpful links and information about E/M guidelines, including the 1995 and 1997 Documentation guidelines, and the Medicare Claims Processing Manual, which includes extensive guidelines and regulations for the correct reporting of E/M services, NPPs, incident-to services, shared/split visits, the correct use of modifiers, and global periods of surgery.
C. The National Correct Coding Initiative is intended to increase correct coding through the identification of codes that may or may not be utilized together. Known as the NCCI edits, these tools identify medically unlikely edits, or the maximum number of times a specific code may be reported during one unit of service, or episode of care. The NCCI edits also identify the hospital outpatient edits, which include two different resources useful for correct coding. Column 1/Column 2 edits table identifies the codes that may or may not be utilized together, as well as identifying whether a modifier is allowed in a particular situation. The Mutually Exclusive Code edits table identifies E/M service codes that may never be reported together.
D. Ten different regional CMS offices provide oversight and support throughout the country. CMS coding regulation guidelines provide leadership and direction for clinicians, coders, and many others in various aspects of healthcare.

6)  1. The term incident to is a billing phrase used by CMS to help identify, report, and appropriately bill incidental clinical, medical, or professional services performed by an NPP when those provided services are integral, although incidental, to the physician's overall care of the patient.
2. In such a case, the physician has initiated the course of treatment for the patient, and the service provided by the NPP plays a minor part in the physician's ongoing management of the patient's care.
3. A shared/split visit identifies an E/M service visit during which an NPP and a physician have both participated in the performance of the service and the incident-to requirements have been met. CMS maintains and updates extensive guidelines regarding the identification and reporting of incident-to services and shared/split visits.

7)  FALSE

8)  TRUE

9)  TRUE

10)  D
wrote...
6 years ago
Easily the best answer, TY and have a wonderful day
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