Which of the following BEST defines counseling risk factor reduction E/M services?
A. Provided services that are intended to promote change in a behavior that could be considered an illness, such as obesity, use of or addiction to tobacco, alcohol use or abuse
B. Any provided E/M service that is preventive medicine in nature and occurs after the first comprehensive preventive medicine service that is performed for a patient by the physician
C. Any provided E/M service that is preventive in nature, is comprehensive in nature, and is the first comprehensive service performed for a patient by the physician
D. Provided services that are intended to encourage an intentional avoidance of disease or conditions associated with high-risk factors
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Q. 2) The physician documents a comprehensive annual evaluation for a 17-year-old girl who is physically active with no health complaints. Which of the following reflects the MOST appropriate CPT code for this service?
A. 99384
B. 99394
C. 99385
D. 99395
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Q. 3) Which of the following BEST defines nonface-to-face physician E/M services?
A. Any healthcare professional who is not a physician
B. Any provided services between a physician and an established patient that, unlike any other E/M service, does not occur face to face between the patient and the physician, but over the phone or via the Internet
C. Healthcare professionals who have education, experience, and expertise to legally practice medicine; includes a wide range of professionals, such as physicians; nurses; physical, occupational, or speech therapists; nutritionists; and more
D. The management and/or coordination of any multifaceted or multidisciplinary treatment plans for a patient's healthcare; requires the participation of the supervising physician
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Q. 4) Pediatrician M documents an email conversation with the mother of a four-year-old girl who is a well-known, established patient, whom Dr. M diagnosed with pertussis yesterday afternoon. Patient has developed significant abdominal pain and loose stools this afternoon. Pediatrician M. collects a comprehensive history and performs low medical decision making, recommending an antibiotics taken with food, eat a bland diet to settle the patient's stomach. Mother expresses understanding via email. No clinic visit is recommended by pediatrician M. or requested by the mother. CPT code: No CPT code should be listed for this non-face-to-face physician service. Which of the following reflects the MOST appropriate CPT code for this service?
A. 99442
B. No CPT code should be listed for this non-face-to-face physician service
C. 99443
D. 99444
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Q. 5) Which of the following BEST defines hospice care?
A. E/M services provided by the coordinated care of different healthcare professionals and/or therapistsincluding nursing care; speech, physical, and occupational therapy; and even home aid workers who can provide assistance with light choresfor a patient who is residing in a private home or domiciliary residence
B. Referring to the home or other dwelling in which a person lives and which is the person's legal place of residence; may be a multioccupant building or a private home
C. The provision of medical, emotional, psychological, and spiritual support by interdisciplinary healthcare and other skilled professionals, specifically for patients who are terminally ill
D. An inpatient facility that provides a variety of different kinds of healthcare services for patients requiring care on a 24-hour basis
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Q. 6) Which of the following BEST defines care plan oversight?
A. Provided services that are intended to promote change in a behavior that could be considered an illness, such as obesity, use of or addiction to tobacco, alcohol use or abuse
B. The management and/or coordination of any multifaceted or multidisciplinary treatment plans for a patient's healthcare; requires the participation of the supervising physician
C. Healthcare professionals who have education, experience, and expertise to legally practice medicine; includes a wide range of professionals, such as physicians; nurses; physical, occupational, or speech therapists; nutritionists; and more
D. An inpatient facility that provides a variety of different kinds of healthcare services for patients requiring care on a 24-hour basis
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Q. 7) Pediatrician M. documents an email conversation with the mother of a 10-month-old girl who is a well-known, established patient, whom Dr. M diagnosed with pertussis fifteen days ago. Patient is responding well to antibiotics, but has developed mild abdominal pain and loose stools this afternoon. Pediatrician M. collects a comprehensive history and performs low medical decision making, recommending a liquid diet to settle the patient's stomach. Mother expresses understanding via email. No clinic visit is recommended by pediatrician G. or requested by the mother. Which of the following reflects the MOST appropriate CPT code for this service?
A. No CPT code should be listed for this non-face-to-face physician service
B. 99442
C. 99443
D. 99444
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Q. 8) Which of the following BEST defines a nursing facility?
A. Referring to the home or other dwelling in which a person lives and which is the person's legal place of residence; may be a multioccupant building or a private home
B. An inpatient facility that provides a variety of different kinds of healthcare services for patients requiring care on a 24-hour basis
C. E/M services provided by the coordinated care of different healthcare professionals and/or therapistsincluding nursing care; speech, physical, and occupational therapy; and even home aid workers who can provide assistance with light choresfor a patient who is residing in a private home or domiciliary residence
D. The provision of medical, emotional, psychological, and spiritual support by interdisciplinary healthcare and other skilled professionals, specifically for patients who are terminally ill
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Q. 9) Documentation reflects a comprehensive annual evaluation for a 39-year-old man with well-controlled type II noninsulin dependent diabetes mellitus. Comprehensive history, detailed physical exam and moderate medical decision making include counseling regarding appropriate dietary and exercise guidelines are documented, and routine labs are ordered. Which of the following reflects the MOST appropriate CPT code for this service?
A. 99396
B. 99385
C. 99395
D. 99386
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Q. 10) Documentation reflects a 45-minute face-to-face conference between an occupational therapist, physical therapist, speech therapist, and patient's family on the fifteenth day of the patient's stay in the hospital. The clinician's review the patient's condition, treatment, plan of care, and answer the family's questions. Which of the following reflects the MOST appropriate CPT code for this service?
A. 99367
B. 99366
C. 99403
D. 99368
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