Need health and medical help with coding

Content Type

User Generated

User

gernfher1

Subject

Health Medical

Description

Can you complete this work

1)OIG assignment- Identify OIG's 2015FY plan purpose/goal

Explain the impact on coding; what actions, if any, coding may take.

2) Complete the attached assignment- Evaluation and Management Coding

E-M-in class11.12.15.doc

3) Locate the CMS APC and Status Indicator text file

Guideline: The responses have to be well thought out and complete with professionalism. The responses have to also correspond with the questions completely and be answered completely.

****I NEED THIS ASSIGNMENT BY 12 PM CENTRAL STANDARD TIME NOVEMBER 16TH, 2015.***

Unformatted Attachment Preview

Basic CPT/HCPCS Evaluation/Management(E/M) 11.12.15 1. There are two sets of E/M guidelines. The first set of guidelines were established in 1995 and the second 1997. The second set of guidelines includes specifics regarding the history & physical examination components. Which set of guidelines should physicians apply to their documentation? 2. What timeframe is used to differentiate between an established or new patient? 3. How many factors are used in assignment of E/M? 4. Name the contributing factors for assignment of an E/M level. 5. How many key components are necessary to assign a specific level of care for subsequent hospital care services? 6. When a patient is admitted to the hospital during an outpatient visit, such as an doctor's visit, which level of E/M should be assigned? 7. Differentiate between a pertinent and complete past,family and/or social history. 8. If counseling is provided with preventive medicine, is it appropriate to assign a separate code for counseling? 9. During the medical decision making, if the assessment or clinical impression is stated as a differential diagnosis or as a possible diagnosis, which documentation guideline is being addressed. 10. Identify which elements are not part of the determining total time and why these elements are excluded. 11. There are three (3) questions that must be answered before an E/M level can be assigned. In brief terms, what should the coder know to assign an E/M Level? 12. Which level of E/M services EXCLUDE time as a factor in the code assignment and why? 13. CPT defines a presenting problem as a disease, condition, injury and sign/symptom at the time of the encounter. The severity level may be low, moderate or high. What is the criteria used to identify a patient with moderate severity? 14. A 65y/o patient is seen in the physician's office with complaints of right upper quadrant pain for one week. The patient does not exhibit any other signs/symptom at this time. The physician advises the patient to monitor the symptoms and if the symptoms continue contact the office. The physician states that if the problem continues an ultrasound and.or surgery may be required. Is modifier-25 or modifier-57 applicable; provide a rationale for your answer (why or why not) Multiple choice questions 15-17. 15. A patient was seen by his family practitioner two years ago. A cardiologist in the same group practice now sees this patient for the first time. For E/M code selection for the cardiologist, the patient would be classified as: a. b. New Established 16. Patient is seen by her primary care physician for headaches. The physician performs a physical exam, reviews data, and outlines management options. Which of the following key components is missing from this case? a. b. c. d. Time History Medical decision making Coordination of care 17. Which of the following is a key factor for selecting a correct code for preventive medicine services? a. Physician time b. Coordination of care c. Age of patient d. Review of systems Assign E/M codes to the following scenarios. Pay attention to location of services. 18. Office Visit Date of service: 1/3/15 Last date of treatment: 2/12/09 The patient is seen for a cough and sore throat. The physician performs a problemfocused history, expanded problem-focused examination, and medical decision-making is straightforward. What is the correct E/M code for this service? 19. Office Visit Date of service 11/24/15 Last date of treatment: 7/12/13 The patient is seen for a routine blood pressure check. Nurse documents BP: 135/90. Nurse asks about diet and exercise program. Patient offers no complaints. What is the correct E/M code for this service? 20. Office Visit Date of service: 9/28/15 Last date of treatment: 8/3/13 The patient is seen for a chief complaint of shortness of breath and fatigue. The physician performs a detailed history, comprehensive examination, and medical decision-making is of moderate complexity. What is the correct E/M code for this service? Bonus Skilled Nursing Home Visit Date of service: 1/9/15 Last date of treatment: 12/22/14 Physician performs a detailed interval history, comprehensive examination, and medical decision-making is of moderate complexity. In addition, the physician reviewed the medical record and the recent lab results. What is the correct E/M code for this service?