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2. You spend 10 minutes caring for an established patient with two chronic stable illnesses (HTN, Hyperlipidemia) that are managed with prescription medications in a visit where no labs were drawn and no adjustments to the medication regimen were made. This merits what level of MDM?
3. Examples of an “independent historian” as defined by the 2023 Evaluation and Management Guidelines include (select all that are correct):
4. A patient was scheduled to come see you for a follow-up hospital encounter. Your staff received notification and your nurse printed off the discharge summary which you reviewed. Your clinical staff (CMA) called the patient on day 2 after discharge and reviewed medications and made sure that home health had reached out to set up a home visit. You tried to see the patient within 7 days, but the visit was set up for calendar day 12 after discharge. You evaluated 2 chronic problems, recommended that the prescription medications remain in use, and you reviewed the labs (CBC, CMET, TSH, Lipid) and the EKG and x-ray reports. The bill to be submitted today would be
5. TCM documentation requires (choose BEST):
6. To bill a Transitional Care Management (TCM) visit, which of the following must occur (choose the correct options)?
7. True statements about the Medicare Initial Preventive Physical Exam (IPPE) include:
8. Things NOT recommended to be covered at the stand-alone Medicare Wellness Visits
9. A 65 yo patient receives the IPPE in 02/2017. They return 13 months later and have not had a Medicare Wellness Exam since 02/2017. They should
10. In February 2022, screening for Lung Cancer with Low Dose Computed Tomography (LDCT) eligibility was updated to
11. Breast cancer screening for Medicare women with Part B begins at
12. A patient has initial non-invasive stool-based screening test (FOBT or MT-sDNA test -Cologuard®️) return positive. Effective 01.01.2023, Medicare will
13. The session noted several things that needed to be documented with the Advance Care Planning note for appropriate billing. These include (choose all that apply):
14. Which of the following is FALSE with respect to Advance Care Planning?
15. You perform Advance Care Planning (ACP) with one of the Medicare Annual Wellness Visits (initial/subsequent) or the IPPE, and you add a modifier -33 to the ACP code. How is the billing of the MWV and ACP performed because of this modifier?
16. True statements related to the “risk score” in clinical documentation include:
17. A 65-year-old female developed a nodule on the left thyroid gland and it was removed surgically after FNA showed malignancy. It was completely excised, and lymph nodes were removed and all negative. She was released from ENT back to her PCP for long term management. This occurred last year, and you are seeing her for the first time this year and you diagnose her with a “History of Papillary Thyroid Cancer”. Which of the following is correct?
18. A 78-year-old male is having numbness in his lower extremities from DMII of 40 years duration. His last A1c was 6.9. Medications have controlled his symptoms. His microalbumin was 40. You diagnose him with diabetic neuropathy as well as diabetic nephropathy. It is January and this is the first visit with you this year. Which statement is correct?
19. Correct documentation and coding of obesity requires
20. A type II diabetic of 11 years is well controlled with an A1c today of 6.2, eGFR of 66, urine albumin to creatinine of 12, and a blood pressure (on ACE-I) chronically 120s/70s. He is on a statin and the last LDL was 92. He has noted his blood sugars over the past two months to be running 120-140s and this week he had one glucose fasting of 151. He has been totally asymptomatic with all of this but is concerned. He sees you today for follow-up. He was previously diagnosed with diabetes without complications, what should you do with his diabetic diagnosis now?
21. Regarding stroke/neurologic syndrome condition capture, select the correct statements:
22. The Two Midnight Rule concepts include which of the following (select all that are correct)
23. On day two (D-day) of a hospital stay where the patient was admitted as inpatient, what would help secure this inpatient status? Choose all that apply
24. Which of the following COPD scenarios would most likely merit INPATIENT hospitalization from initial presentation (active management beyond 2MN)? Select all that apply
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