billing & coding & synergy model

Question 1

elements of MDM

Answer 1

number and complexity of problems addressed

amount and/or complexity of data to be reviewed

risk of complications and/or morbidity or mortality of patient management

Question 2

what needs to be documented for critical care billing

Answer 2

time, details, descripton of critical care assessment

Question 3

what needs to be documented for discharge

t

Answer 3

time

Question 4

4 contributory factors to determine E&M code

Answer 4

counseling, coordination of care, time, nature of presenting problem

Question 5

patient characteristics

Answer 5

resiliency
vulnerability
stability
complexity
resource availibility
participation in care
participation in decision making
predictability

level 1 - straightforward, level 5- complex

Question 6

nurse competencies

Answer 6

clinical judegment
advocacy & moral agency
caring practices
collaboration
systems thinking
response to diversity
clinical inquiry
facilitation of learning