d. only time spent on the patient’s care unit counts c. only time spent on critical care units...

D. Only time spent on the patient’s care unit counts

C. Only time spent on critical care units counts

B. Only time spent counseling the patient counts

A. Only time spent face-to-face with the patient counts

When billing based on time for inpatient services

Click the Correct Choice

Try Again

Sorry, that is Incorrect

For inpatient time codes, tally the time you spend on a patient’s care unit devoted to that patient. Several care episodes during the day may be tallied. Unlike the outpatient setting, inpatient time need not all be face-to-face with the patient.

Congratulations, that is Correct!

Continue

D. The consultant must return to provide follow up management care based on their initial opinion

C. The consultant must provide written communication back to the referring physician

B. The referring service must ask the consulting service to render an opinion regarding care

A. A request for the consultation must be present in writing

All are required to bill a consultation E&M code (known as the Rs of consultation) EXCEPT


Try Again


< Back Continue

Both the request for a consultative opinion and the communication back to the referring physician must be documented in writing.


D. Critical care codes are based on evaluation and management key components

C. Critical care codes can only be submitted by board certified critical care physicians

B. Critical care can occur on any care unit, not just an intensive care unit.

A. Only one critical care code may be submitted per day

Which statement is true regarding critical care time codes?


Try Again


< Back Continue

Critical care codes are time-based codes. They are not just for the ICU or emergency room, and any physician who must be continuously present to provide critical care may submit critical care time billing. A critical care time code may be submitted on the same day as another code, by using the 25 modifier.


D. 70 minutes

C. 45 minutes

B. 30 minutes

A. 20 minutes

To bill for prolonged care when submitting an E&M code based on key components of services, what is the minimum additional time that must be spent above usual time alloted for the E&M code?


Try Again


< Back Continue


To bill a prolonged service code, you must document that at least 30 minutes beyond the usual time alloted for that code were spent on providing

necessary care (face-to-face if in the ambulatory setting.)

D. Family and Social History

C. Review of Systems

B. Past Medical History

A. History of Present Illness

You supervise a 3rd year medical student. Which of the following student documentation can NOT be used to support billing?


Try Again


< Back Continue


Billing physicians may only refer to a student’s documentation of the

Review of Systems and Past/Family/Social Histories.

D. Medicare will pay for both the problem visit and the HME and pass copay/deductible charges to the patient

C. Medicare will pay for the problem visit and the HME with no charge to the patient

B. Medicare will pay for the HME and will pass the problem visit bill to the patient

A. Medicare will pay for the problem visit and pass the HME bill to the patient

When a patient with Medicare Part B is billed for both a health maintenance exam (IPPE or AWV) and a problem visit [E&M] concurrently:


Try Again



You’ve completed Quick Quiz #5.

Medicare covers health maintenance care when provided as an Initial Preventive Physical Exam (IPPE) or as an annual Wellness Visit (AWV). Evaluation and management may be provided and concurrently billed with a -25 modifier. There is no copay/deductible for an IPPE or AWV, but theses fees do apply to concurrently provided and billed E&M.