The Basic Evaluation and Management Guidelines for the Office Setting – Post Test

Quiz Summary

0 of 10 Questions completed

Questions:

You have already completed the quiz before. Hence you can not start it again.

Quiz is loading…

You must sign in or sign up to start the quiz.

You must first complete the following:

Results

Quiz complete. Results are being recorded.

Results

0 of 10 Questions answered correctly

Your time:

You have reached 0 of 0 point(s), (0)

Current
Review
Answered
Correct
Incorrect

Question 1 of 10

1. Question
1. Regarding the current Outpatient E/M Guidelines,
- a. The 99211 was deleted
- b. The 99201 code was deleted
- c. Both 99211 and 99201 were deleted
- d. The ten codes were bundled into two (new and established) sets of three codes each: level 1, level 2, and level 3.
Correct

Incorrect
Question 2 of 10

2. Question
2. Time is one mode of billing a patient for care. Which of the following tasks cannot be counted as part of the total time performed by the billing provider when time is used for billing?
- a. Reviewing old notes and labs this morning in preparation for the visit.
- b. Dictation of the note completed during lunch for the patients seen that morning.
- c. Calling the son at the patient’s request to update them on his care at the end of today’s office schedule.
- d. The time it takes to finish the note from yesterday after labs came back this morning.
Correct

Incorrect
Question 3 of 10

3. Question
3. A patient comes in for a blood pressure follow-up. Your nurse notes that the patient has seen a cardiologist since the last encounter with you and she takes it upon herself to reach out and get records. This process takes her 16 minutes in additional work to get the patient ready. You can
- a. Count this 16 minutes in the time calculation for your visit today
- b. Add this amount of prolonged service time to your 99213 bill with the add-on code G2212
- c. Add the G2212 add-on code for “cardiology records reviewed” being documented by the nurse in the history for this added complexity to the visit
- d. Bill nothing extra for the nurses work to prep you for this visit since prolonged services time is assigned to the billing provider only.
Correct

Incorrect
Question 4 of 10

4. Question
4. 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?
- a. 99212, Straightforward
- b. 99213, Low
- c. 99214, Moderate
- d. 99215, High
Correct

Incorrect
Question 5 of 10

5. Question
5. You see an established patient with two chronic conditions that are stable, and no medications were adjusted in a visit. No labs were drawn, and you spend 17 minutes of total time in pre-visit chart review, performing the patient encounter, and chart documentation. All tasks were completed on the same calendar date that the patient was seen. The bill for this patient is
- a. 99212, Established patient, level two
- b. 99213, Established patient, level three
- c. 99214, Established patient, level four
- d. 99215, Established patient, level five
Correct

Incorrect
Question 6 of 10

6. Question
6. Per CMS, the prolonged service add-on time code G2212
- a. is for at least 15 minutes of added time over the maximum time threshold of any established patient visit.
- b. is for at least 30 minutes of added time over the maximum time threshold of any established patient visit.
- c. is for at least 15 minutes of added time over the 99205 or 99215 maximum time threshold.
- d. is only added for patient care complexity and only added ONCE for each visit with a patient with two or more chronic conditions.
Correct

Incorrect
Question 7 of 10

7. Question
7. Which of the following does not qualify for drug therapy requiring intensive monitoring for toxicity?
- a. Ordering a basic metabolic panel for a hypertensive patient on an ACE/HCTZ combination medication at the routine six-month follow-up.
- b. Checking a PT/INR on a patient with epistaxis and bruising who is on Warfarin and has not been seen in 5 weeks.
- c. Drawing levels of phenytoin in a 69 year old with new mental status changes
- d. Drawing a basic metabolic panel on a patient with stage IIIb renal disease 1 week after starting an ACE/diuretic to manage his elevated BP.
Correct

Incorrect
Question 8 of 10

8. Question
8. A longstanding 77 yo former smoker-COPD patient presents to see you due to SOB and worsening cough with purulent sputum production of six days duration. Saturations on RA are 89% with ambulation, 93% at rest (96% baseline). CXR is negative, but given the presentation, you recommend a short stay in the hospital to get “tuned up”. He refuses, but agrees to follow-up with you in the morning or call tonight if things worsen. You agree with the plan and prescribe appropriate medications. The total time for the encounter, including chart documentation is 34 minutes. Based on the 2023 E&M MDM Guidelines, this would be billed
- a. 99213
- b. 99214
- c. 99215
- d. 99215 + G2212 (15 min added time due to complexity)
Correct

Incorrect
Question 9 of 10

9. Question
9. Categories are used to make up the components of the DATA aspect of the evaluation and management related to the Medical Decision Making (MDM) of the ambulatory encounter. The high MDM and moderate MDM differ in that
- a. three categories are to be used for high and only two are needed for moderate MDM.
- b. all elements must be met in a category for it to “count” it for MDM.
- c. one category must be met for Moderate MDM and two of three are needed for high MDM.
- d. Category 1 is required as a base minimum for MDM assignment.
Correct

Incorrect
Question 10 of 10

10. Question
10. Examples of an “independent historian” as defined by the 2023 Evaluation and Management Guidelines include (select all that are correct):
- a. The mother of a two-year-old with vomiting and fever
- b. A multi-lingual translator who is present to relay the history delivered by a competent patient who speaks a language different that the provider
- c. The nurse navigator who accompanies a limited-cognition patient to an office visit to share with you the progression of the patient’s condition over the last week
- d. The son who attends a visit virtually to share some of his concerns related to his father’s activities of daily living and care at home based on what he witnessed during the holiday break.
Correct

Incorrect

The Basic Evaluation and Management Guidelines for the Office Setting – Post Test

Quiz Summary

Information

Results

Results

Categories

1. Question

2. Question

3. Question

4. Question

5. Question

6. Question

7. Question

8. Question

9. Question

10. Question

Need Help Accessing the Site?

We're Here To Assist You