Which of the following is the BEST definition of activities of daily living?
A. The activities necessary for an independent person to perform in order to live alone, including, but not limited to, grooming oneself, feeding oneself, cooking, and getting dressed
B. One of a variety of healthcare facilities that provides same-day care for the patient
C. the standardized protocols intended to assess and measure the patient's progress, ability, and function throughout the patient's stay in the nursing facility
D. refers to the inclusion of any services provided to the patient during the entire process of discharging the patient from observation care status
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Q. 2) A 13-year-old boy suffers a fall on a balance beam and experiences immediate, severe abdominal pain and difficulty breathing. He is taken to the emergency room, where the physician documents a detailed history and physical examination and a medical decision making of moderate complexity. The physician admits the patient into the hospital to rule out diaphragmatic injury. Which of the following reflects the MOST appropriate CPT code for this service?
A. 99218
B. 99221
C. 99224
D. 99231
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Q. 3) 1. On the third morning after admission in the hospital, patient's fever has increased to 104 with rapid, shallow breathing and abdominal swelling. The attending physician requests a consultation from infectious disease specialist, who documents a comprehensive history and physical examination, a medical decision making of moderate complexity. And 115 minutes of intraservice time spent at the patient's bedside, on the patient's floor in conversation with the family, and the radiology department (two floors below) independently reviewing the images of the radiologic scans. Which of the following reflects the MOST appropriate CPT code for this service?
A. 99253
B. 99223
C. 99255
D. 99254
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Q. 4) Which of the following BEST defines a skilled nursing facility?
A. A healthcare facility that provide transitional, rehabilitative care for patients who require care and services for a short period of time
B. 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
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 extended healthcare services for patients who require extensive or ongoing care, therapeutic support, or assistance with activities of daily living
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Q. 5) _________ documentation that identifies the level of risk posed to the patient by any of the following: pathological development that is not an inherent part of the presenting problem but that occurs in a patient during the management of a patient's presenting problem, a disease, illness, or ill health that is separate from the presenting problem but that occurs at the same time as the presenting problem, or death
Fill in the blank with correct word.
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Q. 6) _________ documentation of the quantity of data that has been reviewed and interpreted by the physician performing the E/M service, and the documented identification of how multifaceted, difficult, or intricate the presented data are, and the level of difficulty the data present to the physician performing the E/M service
Fill in the blank with correct word.
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Q. 7) _________ documentation of the objective clinical assessment of the patient's current health status at the time of the visit, performed by the clinician during the evaluation and management service visit
Fill in the blank with correct word.
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Q. 8) _________ documentation of the clinical identification of the composite degree of risk posed to the patient by the chief complaint, the amount or complexity of data that must be reviewed by the physician, the as well as the risk posed by any proposed diagnostic or treatment options
Fill in the blank with correct word.
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Q. 9) _________ documentation of the condition, illness, injury, complaint or other reason for which the patient has presented to the healthcare facility for the evaluation and management service
Fill in the blank with correct word.
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Q. 10) _________ documentation of the patient's verbal or written responses to questions posed by the clinician or representative of the clinic regarding the patient's past medical history, the medical history of the patient's family, and the patient's day-to-day social activities
Fill in the blank with correct word.
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