Question 1

A nursing facility comprehensive assessment is documented when the patient is __________.

Accepted Answer

A comprehensive assessment is required when a patient is admitted or readmitted to a nursing facility to ensure that their current health status and needs are accurately documented and addressed.

Question 2

Home services are provided to individuals in __________ to promote, maintain, or restore health and/or to minimize the effects of disability and illness, including terminal illness.

Accepted Answer

Home services are specifically designed to be provided in the individual's place of residence to support health and manage illness or disability.

Question 3

Which is the examination of a patient by a health care provider, usually a specialist, for the purpose of advising the referring or attending physician in the evaluation and/or management of a specific problem with a known diagnosis?

Accepted Answer

A consultation involves a specialist examining a patient to provide advice to the referring physician regarding a specific problem with a known diagnosis.

Question 4

Which are provided in a hospital that is open 24 hours for the purpose of providing unscheduled episodic services to patients who require immediate medical attention?

Accepted Answer

Emergency department services are specifically designed to provide immediate medical attention to patients with urgent and unscheduled medical needs, and they operate 24 hours a day in hospitals.

Question 5

A physical status modifier is added to each reported CPT Anesthesia section code to indicate the patient's condition __________.

Accepted Answer

Physical status modifiers are used to indicate the patient's condition at the time anesthesia was administered, reflecting the complexity and risk associated with the anesthesia care.

Question 6

Which occurs when a patient reports that another provider sent the patient to the provider, but the first provider did not schedule the appointment or document a request for services?

Accepted Answer

A referral occurs when a patient is directed to another provider for further care or services, but if the first provider did not schedule the appointment or document the request, it is still considered a referral.

Question 7

Which cover physicians who spend prolonged periods of time without direct patient contact, until physician's services are required?

Accepted Answer

Standby services cover physicians who are present without direct patient contact until their services are needed.

Question 8

Prolonged physician service with direct patient contact refers to __________ patient contact on an inpatient or outpatient basis.

Accepted Answer

Prolonged physician service with direct patient contact refers to face-to-face interactions with the patient, either in an inpatient or outpatient setting.

Question 9

Which include processes in which a physician is responsible for direct care of a patient and for coordinating and controlling access to or initiating and/or supervising other health care services needed by the patient?

Accepted Answer

Case management services involve a physician being responsible for direct patient care and coordinating other necessary healthcare services.

Question 10

Physicians' services involving patient contact that are considered beyond the usual service in either an inpatient or outpatient setting may be reported as __________ services.

Accepted Answer

Prolonged services refer to those that extend beyond the usual service time in either inpatient or outpatient settings, involving direct patient contact.

Question 11

When anesthesia services are provided during situations or circumstances that make anesthesia administration more difficult, report a qualifying circumstances code from the CPT __________ section.

Accepted Answer

The answer of When anesthesia services are provided during situations...

Question 12

Subcategories of hospital inpatient evaluation and management services include hospital discharge services, which include the __________.

Accepted Answer

Hospital discharge services include the final examination of the patient, discussion of hospital stay with patient or caregiver, instructions for continued care, and preparation of discharge records, prescriptions, and referral forms.

Question 13

Which occurs when a surgeon requests a specialist or other physician to examine a patient to determine if the patient can withstand the expected risks of a specific surgery?

Accepted Answer

Preoperative clearance is when a specialist or another physician evaluates a patient to determine if they can handle the risks associated with a specific surgery.

Question 14

Which are provided at an intermediate care facility or mentally handicapped, long-term care facility, or psychiatric residential treatment facility?

Accepted Answer

Intermediate care facilities, long-term care facilities, and psychiatric residential treatment facilities typically provide nursing facility services, which include assistance with daily living activities and medical care for residents.

Question 15

Care plan oversight services cover the physician's time __________ the complex and multidisciplinary care treatment program for a specific patient who is under the care of a domiciliary or rest home or who resides at home.

Accepted Answer

Care plan oversight services involve the physician supervising the complex and multidisciplinary care treatment program for a patient.

Question 16

Newborn care includes services provided to newborns in a(n) __________.

Accepted Answer

Newborn care can be provided in a variety of health care settings, including hospitals, homes, and specialized care facilities, depending on the needs of the newborn.

Question 17

Prolonged physician service without direct patient contact refers to __________ patient contact on an inpatient or outpatient basis.

Accepted Answer

Prolonged physician service without direct patient contact refers to non-face-to-face interactions, such as reviewing patient records or consulting with other healthcare professionals, without the patient being present.

Question 18

Which include routine examinations or risk management counseling for children and adults who exhibit no overt signs or symptoms of a disorder while presenting to the medical office for a preventive medical physical?

Accepted Answer

Preventive medicine services include routine examinations and risk management counseling for individuals without symptoms, aimed at preventing health issues.

Question 19

Which describes the short-term, intensive treatment program where individuals who are experiencing an acute episode of an illness can receive medically supervised treatment during a significant number of daytime or nighttime hours?

Accepted Answer

Partial hospitalization is a short-term, intensive treatment program where individuals receive medically supervised treatment during significant daytime or nighttime hours without staying overnight.

Question 20

Which are reported when a physician directly delivers medical care for a critically ill or critically injured patient?

Accepted Answer

Critical care services are reported when a physician directly delivers medical care for a critically ill or critically injured patient.

Quiz 7: CPT Coding