Final Studying! Flashcards
what are the three main purposes of a medical report? communicating with…
other providers
insurance companies
legal teams
are we allowed to make western medical diagnoses?
no
is a medical report a legal document?
yes
Should the initial comprehensive acupuncture report have opinions or speculation?
no
which section of the initial comprehensive acupuncture report does not need a heading?
opening statement
should we write about the chief complaint in the past medical history section?
no
what goes in the “initial impression” section of the initial comprehensive acupuncture report
a list of western medical conditions that you plan to treat
who can request a medical legal report?
patient insurer employer police court
do you need patient’s written permission before writing a medical legal report?
yes
can the patient’s history of events be considered as fact in a medical legal report?
no
are you required to give opinion in a medical legal report?
no
can you advocate for your patient in a medical legal report?
no
Personal Injury Protection (PIP) claims must be submitted within __ days of date of service
45
Major medical claims are (mostly) able to be made for up to _____ after date
1 year
what does ICD stand for?
International Classification of Diseases
what is the code for headaches
R51
what does CPT stand for?
Current Procedural Technology
what are the two categories of CPT codes?
- evaluation and management
2. procedure and modality
how many E/M codes are there?
10
E/m codes are comprised of 3 components + _______________. What are the three components?
time spent.
history, evaluation, decision making
what are the 5 initial evaluation e/m codes and what times do they represent?
99201 - 10 min 99202 - 20 min 99203 - 30 min 99204 - 45 min 99205 - 60 min
what is the most common initial eval e/m code used by acupuncturists?
99203
how often can you use initial eval E/m codes on the same patient?
every 3 years
If patient sees someone else in your office, for 3 years and then comes back to you, can you use the initial e/m code?
no
what are the 5 re-evaluation e/m codes and what times do they represent?
99211 - 5 min 99212 - 10 min 99213 - 15 min 99214 - 25 min 99215 - 40 min
which “key component” is dropped from initial to re-eval codes?
“history” because you don’t need to take history anymore
a __________ is any therapy applied to the patient
procedure
a _________ is a physical object applied to a body part in order to affect therapeutic change
modality
what are the two initial acupuncture procedure codes, and what do they represent?
97810 - initial 15 min of regular acupuncture
97813 - initial 15 min of estim acupuncture
what are the two additional/reinsertion acupuncture procedure codes and what do they represent?
97811 - additional 15 min of regular acupuncture with reinsertion
97814 - additional 15 min of estim acupuncture with reinsertion
do the initial acupuncture procedure codes include hand-washing, prepping, basic history, and charting?
yes
what are two ways to count for reinsertion?
adding points
needle stimulation/manipulation
can you bill for both regular and estim acupuncture in the same treatment?
no! in this case, just bill for estim because it’s gonna get you more money
what is the code for 15 min of LMT massage?
97124
what is the code for LAc manual therapy?
97140
what is the code for heat lamp?
97026
what is the modifier for a significant, separately identifiable E/M service by the same physician on the same day?
25
what are the telemedicine codes for video chat and what times do they represent?
99421 - 5-10 min
99422 - 11-20 min
99423 - 21 min or more
what modifier do we use for an audiovisual call?
95
what is the place of service code for telemedicine
02
what are the telemedicine phone call codes and what times do they represent?
99441 - 5-10 min
99442 - 11-20 min
99443 - 21 min and up
_______________ is the personal injury protection component of required auto insurance in the state of NY
no fault
