MTM Exam 1 Question and Answers 100% Solved Correctly

MTM Exam 1 Question and Answers 100% Solved Correctly The 5 C's - answercorrect, complete, concise, consistent, cautious Should you document negative things? - answeryes (ex no history of thyroid cancer, not pregnant) What 5 things should be included in follow up? - answernext step for patient timeframe contact method CMR vs TMR collaborating goal setting What does SMART stand for in SMART goals? - answerspecific, measurable, achievable, realistic, time-bound What are CPT codes? What does CPT stand for? - answerAMA Current Procedural Terminology codes, master set of billing codes, descriptions, and guidelines for services and procedures What are the 3 categories of CPT? - answerprimary (will be reimbursed), supplemental tracking and performance measurement codes (will be reimbursed), temporary or emerging technology (might be reimbursed) Outpatient CMS code - answer1500 Inpatient CMS code - answer1450 Superbill - answerservices and codes used with accounting/ billing (may be given to patients like a menu) non-dispensing, pharmacy specific codes - answer99605: new patient, initial encounter ftf up to 15 minutes 99606: established patient, initial encounter ftf up to 15 minutes 99607: each additional 15 minutes added on to initial exposure 99605 - answernew patient, initial encounter ftf, up to 15 minutes 99606 - answerestablished patient, initial encounter ftf, up to 15 minutes 99607 - answereach additional 15 minutes added on to initial exposure "incident to" codes - answer99211, 99212, 99213, 99214, 99215 increasing intensity or level of care (time, details, complexity) - answerincident to Chronic Care Management codes - answer2+ chronic conditions expected to last 12+ months, patient at significant risk of death, acute exacerbation/ decompensation, or functional decline, comprehensive care plan established, implemented, revised, or monitored 99490: at least 20 minutes spent on care management 99487 moderate to high complexity and minimum of 60 minutes per month 99489 additional code for complex patients for each additional 30 minutes/ month only one provider can bill these per month cannot bill MTM at the same time 99490 - answerCCM at least 20 minutes spent on care management 99487 - answerCCM moderate to high complexity, at least 60 minutes per month 99489 - answerCCM each additional 30 minutes per month Transitions of Care codes - answerinpatient to outpatient one ftf visit and remote services must communicate about appointment within 2 business days available 29 days post-discharge to one provider collect and review discharge info, determine/ coordinate follow up needs, interaction with other providers, education, coordinate referrals 99495: moderate complexity, visit completed within 14 days 99496: high complexity, visit completed within 7 days 99495 - answertransition of care moderate complexity, visit completed within 14 days 99496 - answertransition of care high complexity, visit completed within 7 days