Answer the following statements true (T) or false (F)
1. In general, medical decision making with respect to a diagnosed problem is harder than that for an identified but undiagnosed problem.
2. For a presenting problem without an established diagnosis, the clinical impression may be stated as a "possible" or "rule-out" diagnosis.
3. If a physician considers findings from discussions with family members in his or her medical decision making, documentation in the chart can simply state "additional history obtained from family" without providing additional detail.
4. Time is considered the controlling factor for determining the level of E/M service if counseling with the patient or family members constitutes more than 50% of the encounter.
5. Audits performed on a regular basis will confirm that documentation and coding were appropriate for the level of service provided or will identify problems.
1. FALSE
2. TRUE
3. FALSE
4. TRUE
5. TRUE
You might also like to view...
The transparent portion of the eye that adjusts shape to focus the eye is known as the:
A. lens B. capsule C. iris D. diaphragm
Patients who were on either heparin or a low molecular weight heparin medication may have developed delayed heparin-induced ____________________.
Fill in the blank(s) with the appropriate word(s).