A 47-year-old patient suffering from a productive cough, fever and headache presents to her regular physician after living out of the country for five years. The physician documents the expanded problem focused history, a detailed physical examination, and prescribes antibiotics for this new presenting problem. Which of the following reflects the MOST appropriate CPT code for this service?
A. 99203
B. 99213
C. 99202
D. 99214
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Q. 2) Which of the following BEST defines a long-term care facility?
A. 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
B. 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
C. 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
D. A healthcare facility that provide transitional, rehabilitative care for patients who require care and services for a short period of time
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Q. 3) Which of the following BEST defines admitting physician?
A. 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
B. 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
C. 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
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. 4) A 79-year-old patient is brought to the hospital emergency department because of intense chest pain and difficulty breathing. The physician documents a detailed history and physical examination, and medical decision making of moderate complexity. Fifteen hours after arriving in the emergency department, the patient is diagnosed with bronchitis and pleurisy, and leaves the emergency department with a prescription for Zithromax and a hydrocodone cough suppressant. Which of the following reflects the MOST appropriate CPT code for this service?
A. 99281
B. 99282
C. 99283
D. 99284
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Q. 5) A 79-year-old patient is brought to the hospital emergency department because of intense chest pain, and difficulty breathing. The physician documents a detailed history and physical examination and, due to the undiagnosed new problem with uncertain prognosis, the physician spends 50 minutes at the patient's bedside, and then admits the patient to observation for the night. Which of the following reflects the MOST appropriate CPT code for this service?
A. 99218
B. 99282
C. 99219
D. 99283
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Q. 6) Which of the following BEST defines a per diem service?
A. Measurement of the performed service by day, according to the passage of one day
B. healthcare services provided for a patient who is recovering from an illness; also referred to as recuperative care
C. healthcare services, such as therapy, education, and counseling, intended to enable a patient's return to good health in mind and body
D. 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
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Q. 7) When her daughter's recurrent infection in her right ear does not respond to treatment with her regular pediatrician, the mother brings her three-year-old daughter to a new pediatrician for a second opinion about her daughter's recurrent ear infections. The physician documents a comprehensive history, a detailed physical examination, and a medical decision making of moderate complexity, recommending an elective surgery to place tympanostomy tubes in the child's right ear. Which of the following reflects the MOST appropriate CPT code for this service?
A. 99243
B. 99204
C. 99214
D. 99203
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Q. 8) Which of the following BEST defines a partial hospital setting?
A. 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
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 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
D. 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
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Q. 9) Which of the following is the BEST definition of the documentation of an admission?
A. Documentation of a specific designation of service 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
B. Documentation of healthcare services provided for a patient who is recovering from an illness; also referred to as recuperative care
C. Documentation of the formal acceptance of one patient's care by the hospital, nursing home, domiciliary care provider, boarding or rest home, or other healthcare facility where the patient will remain overnight
D. Documentation of 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
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Q. 10) A patient presents to the emergency room at 3:15 am and is admitted to observation. At 9:00 pm, the attending physician documents a comprehensive history, and detailed physical examination, moderate medical decision making, and judges the patient's condition improved enough to discharge from the hospital. Which of the following reflects the MOST appropriate CPT code for this service?
A. 99234
B. 99284
C. 99235
D. 99285
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