A patient presents to the hospital for radiologic testing accompanied by her husband of 45 years. Before she can complete the paperwork for the radiology department, she loses consciousness and is admitted into the hospital. Through an in-depth interview with the patient's husband, the physician collects a comprehensive history, and documents a detailed physical examination, and a medical decision making of moderate complexity. The physician provides 50 minutes of counseling for the husband, as well as coordination of care for the patient's care. Which of the following reflects the MOST appropriate CPT code for this service?
A. 99233
B. 99284
C. 99222
D. 99253
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Q. 2) The physician sees a patient for an urgently scheduled follow up visit in the clinic. Documentation reflects a detailed history, a detailed physical examination, the medical decision making indicates that, in addition to 25 minutes of counseling, and coordination of care, the physician reviewed laboratory results and prescribed antibiotics. Which of the following reflects the MOST appropriate CPT code for this service?
A. 99203
B. 99214
C. 99204
D. 99213
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Q. 3) Which of the following BEST defines a consultation?
A. The services and documentation that identifies that the provision of care for a specific patient within a specific inpatient facility has been completed, which requires a certain amount of time to allow for the final examination of the patient, and may include counseling and/or continuation of care with the patient and/or family, as well as any other physicians or facilities
B. The services provided and documentation completed to identify when a patient's primary care physician relinquishes the responsibility of some or all of the patient's care to a different physician who has not previously provided any consultation services for the patient
C. Services provided by one physician who performs an E/M service at the request of another physician for the sole purpose of providing a professional opinion on the patient's presenting problem
D. The documentation completed by a physician to identify that the patient is now under care of an inpatient facility, which includes the facilitation of coordination of care with other physicians, nurses and any other clinical staff who will provide care and treatment for the patient for as long as the patient stays at that specific facility
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Q. 4) Five days after admission into the hospital, the physician spends 29 minutes performing a final examination of the patient, discussing the treatment provided for the patient during the hospital stay, the current and future plan of care (including prescriptions), and the referrals with specific physicians. Which of the following reflects the MOST appropriate CPT code for this service?
A. 99239
B. 99233
C. 99238
D. 99232
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Q. 5) Fifteen days after admission into the Fair Willow Nursing Facility, the attending physician discusses the patient's stay at Fair Willows and the expected care the patient will require in the near future. The patient and family indicate understanding of everything discussed during the 40 minutes counseling and coordination of care. Which of the following reflects the MOST appropriate CPT code for this service?
A. 99307
B. 99316
C. 99318
D. 99315
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Q. 6) Which of the following BEST defines an intermediate care facility?
A. A healthcare facility that offers intensive therapeutic treatment or support for a patient whose condition does not warrant admission into an inpatient facility; most commonly provides psychiatric and mental healthcare
B. A healthcare facility that provide transitional, rehabilitative care for patients who require care and services for a short period of time
C. A healthcare facility that provide extended healthcare services for patients who require extensive or ongoing care, therapeutic support, or assistance with activities of daily living
D. A healthcare facility that provides housing for chronically ill patients who require a variety of healthcare services, including nursing care; physical, speech, or occupational therapy; rehabilitation; and other services of care
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Q. 7) Which of the following BEST defines a transfer of care?
A. Measurement by day, per day, or according to the passage of 1 day
B. The process that occurs when a patient's primary care physician relinquishes the responsibility of some or all of the patient's care to a different physician who has not previously provided any consultation services for the patient
C. Healthcare services provided for a patient who is recovering from an illness; also referred to as recuperative care
D. Services provided by one physician who performs an E/M service at the request of another physician for the sole purpose of providing a professional opinion on the patient's presenting problem
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Q. 8) Which of the following provides the BEST definition for a beneficiary?
A. An individual who receives the benefit of a service or program; most commonly used in reference to private, state, and federal health and/or medical insurance policies
B. The physician responsible for completion of documentation specific to the hospital inpatient setting, including documentation intended to facilitate coordination of care with other physicians, nurses, and any other clinical staff who will provide care and treatment for the patient
C. Specific physician who may not be the only clinician involved in the observation of this patient, but who is responsible for the observation service provided for the patient
D. The term used to identify the physician who has provided no consultation services for a specific patient, and accepts primary responsibility for some or all of this specific patient's care from another physician who had previously provided primary care for a specific presenting problem or the patient's entire care
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Q. 9) A 79-year-old patient has recently moved from out of state to live closer to his adult children and grandchildren and is admitted into Fair Meadows Rest Home. During the first hour in the facility, the physician documents a detailed history, expanded problem focused physical examination, and medical decision making of moderate complexity during a 50-minute interview with the patient, the patient's adult children in counseling and coordination of care. Which of the following reflects the MOST appropriate CPT code for this service?
A. 99325
B. 99335
C. 99326
D. 99326
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Q. 10) Which of the following BEST defines supervising physician?
A. Specific physician who may not be the only clinician involved in the observation of this patient, but who is responsible for the observation service provided for the patient
B. The term used to identify the physician who has provided no consultation services for a specific patient, and accepts primary responsibility for some or all of this specific patient's care from another physician who had previously provided primary care for a specific presenting problem or the patient's entire care
C. The physician responsible for completion of documentation specific to the hospital inpatient setting, including documentation intended to facilitate coordination of care with other physicians, nurses, and any other clinical staff who will provide care and treatment for the patient
D. An individual who receives the benefit of a service or program; most commonly used in reference to private, state, and federal health and/or medical insurance policies
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