AAPC CPC Chapter 19 Test Review QUESTIONS AND ANSWERS 2022/2023| GRADED A

Chapter 19 Test Review  Question 1_4 out of 4 points A patient is seen by Dr. B who is covering on call services for Dr. A. The patient is an established patient with Dr. A. but she has not been seen by Dr. B. before. Which E/M subcategory is appropriate to report the services provided by Dr. B? Selected Answer: a. Established patient office visit Correct Answer: a. Established patient office visit Response Feedback: Rationale: According to the E/M Guideline for New and Established Patient, when a provider is on call or covering for another provider, the patient’s encounter will be classified as it would have been by the provider who is not available. In this instance, Dr. B would report an established patient office visit.  Question 2_4 out of 4 points What category of codes should be used to report an evaluation and management service provided to a patient in a psychiatric residential treatment center? Selected Answer: b. Nursing facility services Correct Answer: b. Nursing facility services Response Feedback: Rationale: The guidelines for Nursing Facility Services state, “These codes should also be used to report evaluation and management services provided to a patient in a psychiatric residential treatment center.”  Question 3_4 out of 4 points A PCP transfers a patient to a cardiologist for management of the patient’s congestive heart failure. The cardiologist examines the patient, discusses treatment options and schedules a stress test for this new patient. A report is sent to the PCP detailing the findings of the office visit, results of the stress test and intent to manage and treat the congestive heart failure. An E/M code would be selected from what subcategory for the cardiologist? Selected Answer: a. New patient office visit Correct Answer: a. New patient office visit Response Rationale: The PCP transferred the patient to the cardiologist to manage/treat the congestive Feedback: heart failure. The cardiologist accepted the transfer of care of the patient and sent a letter to the PCP with findings of the first visit and stress test. This would be coded as a new patient since the cardiologist accepted the patient and is taking over the care of a specific problem.  Question 4_4 out of 4 points A provider admits Mrs. Smith to the hospital. She is there for five days. The provider sees her each day she’s in the hospital. What subcategory of E/M codes would be used for days two, three and four? Selected Answer: a. Subsequent Hospital Care