Test Your E/M Coding & Billing Savvy

Posted on 06. Apr, 2009 by Editor in Hot Coding Topics

Are you an E/M Emeritus? Take this quiz to find out.

Evaluation and management services represent the bulk of what most practices bill these days. So if your E/M coding knowledge isn’t up to snuff, your practice could be missing out on major reimbursement or risking compliance issues.

E/M reimbursement is the core of your practice. Strengthen in now with our expert instructors.

Find out if you’re properly billing the E/M services your physicians perform with these five quiz questions, then see below for the answers.

Question 1: The physician puts an asthma patient on steroids and changes his inhaler settings after an exacerbation. The patient returns the next week for a scheduled follow-up. The provider asks the patient if he is having any breathing trouble since his medication change. What review of systems (ROS) level does this represent?

A. Problem-pertinent ROS

B. Extended ROS

C. Complete ROS

D. None of the above.

Question 2: A patient who is new to the area makes an appointment with the physician for a yearly physical and to discuss chronic diagnoses of asthma and depression. The physician performs the preventive medicine service and has a long discussion with the patient regarding the chronic diagnoses. The documentation supports the annual physical code and also has enough stand-alone documentation to bill an E/M with the visit. Which of the following should you bill?

A. New patient physical only.

B. Established patient physical only.

C. A new patient physical with the appropriate-level new patient E/M.

D. A new patient physical with the appropriate-level established patient E/M.

Question 3: Your physician sees an established five-year-old patient with severe chronic allergies. The patient is not presenting with any symptoms...

Tags: 99213, 99214, 99292, 99381, 99387, E/M, evaluation and management, MDM, medical decision making, review of systems, ROS