E&M LEVELS

Question 1

true or false: every chart must have an E&M code because the E&M code determines the level of reimbursement for the visit

Answer 1

true

Question 2

T or F: E&M stands for evaluation and management and determines the amount of eligible reimbursement for the office visit

Answer 2

true

Question 3

What are the two most commonly used E&M levels in outpatient medicine?

Answer 3

3 and 4

Question 4

True or False: If you document “reviewed past history” for an established patient, you must also document the date of last visit in order for it to count as a billable PMHx

Answer 4

true

you can import PMHx, FHx, SHx but must inlcude the date of the last visit

Question 5

Which is considered a subsection of the assessment and plan?

Answer 5

data
problems
health risks

Question 6

what does and E&M code for a new patient with a level 1 service look like ?
what about for an established patient ?

Answer 6

99201

99211

Question 7

Level 4 chart

how many HPI elements are needed for a new pt vs old pt

Answer 7

4,2

Question 8

level 4 chart

how many ROS elements are needed for new vs established

Answer 8

10,2

Question 9

level 4 chart

how many PHx are needed for new vs established

Answer 9

3,1

Question 10

level 4 chart

how many PE are needed for new vs established ?

Answer 10

9,2

Question 11

level 4 chart

how many assessement are needed for new vs established ?

Answer 11

1,2

Question 12

T/F level 4 is comprehensive and highest E&M level?

Answer 12

FALSE

it is detailed and level 5 is comprehensive and highest level

Question 13

do new pts require more or less documentation than established pts to bill for the same level?

Answer 13

more

Question 14

how many HPI elements are needed for a new level 4 pt

Answer 14

4