NURS 5337 Billing and Coding Quiz – Questions and Answers | 2027 Update | Graded A+.

NURS 5337 Billing and Coding Quiz – Questions and Answers | 2027 Update | Graded A+. Past history includes: (7) - ANSWER -PMH PSH Meds Allergies Immunizations 12 recognized systems for physical exam: - ANSWER -constitutional eyes HENT/mouth CV RESP GI GU MS SKIN/BREASTS NEURO PSYCH HEMATOLOGIC qualifiers or components of physical exam: problem focused - ANSWER -1-5 elements (level 2) qualifiers or components of physical exam: problem expanded - ANSWER -6+ elements (level 3) qualifiers or components of physical exam: detailed - ANSWER -12 elements in /= 2 systems (level 4) qualifiers or components of physical exam: comprehensive - ANSWER -2 elements in 9 systems (level 5) each documented "element" within a single organ system must be of a ______________________ - ANSWER -different method, such as inspecting vs palpation medical decision making includes three components - ANSWER -number of diagnoses/problems data reviewed risk of conditions and management billing level is based on point system, comprehensive is level___________-and gets________points - ANSWER -5 ; 4 points remember to document___________versus___________problems, and ______________versus improvement/worsening - ANSWER -new vs established problems stability vs improvement/worsening problem: 1 point given for - ANSWER -self-limited/minor problem or established problem (stable/improved) Problem: 2 points for - ANSWER -established problem (worse) Problem: 3 points for - ANSWER -new problem without planned workup Problem: 4 points for - ANSWER -new problem with planned workup data review: 1 point for: - ANSWER -lab test reviewed, radiology review, other diagnostic test, review of test w/performing md, attempt to obtain outside records,review outside records data review: 2 points for - ANSWER -independent review of radiology tests,ekg low risk if pt has - ANSWER -1 chronic stable problem or 2 minor probs moderate risk if pt has - ANSWER -2 stable chronic or 1 new prob with unclear diag 1 mild exac high risk if pt has - ANSWER -acute or chronic life threatening problem ICD codes are - ANSWER -diagnosis codes CPT codes are - ANSWER -service codes V codes - ANSWER -these codes show preventative care, teaching or assessments that were done - almost never reimbursable G codes - ANSWER -used by government and insurance agencies to track care given examples of G codes - ANSWER -admin of influenza vaccine annual depression screen list of current meds calculated bmi J codes - ANSWER -codes used for injectable drugs not able to be self administered CPT codes cover - ANSWER -all billable services and procedures NP must decide what is medically necessary care for: - ANSWER -the given diagnosis, and bill accordingly what are modifiers used for - ANSWER -to add information or change the description of service in order to improve accuracy or specificity The E&M codes represent providers' cognitive services such as: (4) - ANSWER office or clinic visits, consultations, preventative medicine exams, and critical care services