Congestive Heart Failure - answerA chronic condition in which the heart doesn't pump blood as well as it should.
Hypertension - answerA condition in which the force of the blood against the artery walls is too high.
HEDIS - answerHealthcare Effectiveness Data and Information Set
HIPAA - answerHealth Insurance Portability and Accountability Act
MPFS - answerMedicare National Physician Fee Schedule
Multiple procedure rule - answerThe highest value code is paid at 100%. The second highest value code is paid at 50%. Each additional code is paid at 25%. Add on codes are exempt from the multiple procedure rule. They are paid at 100%.
Bullet symbol - answerIndicates new procedures and services added to the CPT book.
Triangle symbol - answerIndicates that the description of the code has been revised
Opposing horizontal triangles - answerIndicates new and revised text, other than in procedure descriptors
Forbidden symbol - answerIdentifies codes that are modifier 51 exempt and exempt from the multiple procedure rule
CDEO EXAM QUESTIONS WITH COMPLETE
SOLUTION GRADED A+ 2023/2024 A++ 1 / 2
Bull's-eye symbol - answerIdentifies codes that include moderate sedation. When this is located next to a code, moderate sedation can not be reported separately.
Unlisted procedure code - answerThese are reported when an existing CPT code does not describe the procedure. To facilitate these claims, provide the operative report and suggest an appropriate fee.
Chief complaint - answerThe reason for the encounter. A CC is required for every encounter except a preventive service. If the CC is missing, you are to report CPT code 99499: Unlisted E&M service. "Follow up" can not be the reason for the visit.
HPI - answerDescription of the development of the patient's illness from the list of signs or symptoms, or from the previous encounter, to the present. The provider must document the HPI.There are 8 elements of the HPI.
Location - answerAnatomical place, position, or site of the chief complaint.
Quality - answerCharacteristics about the problem, such as how it looks or feels.
Severity - answerA degree or measurement of how bad it is.
Duration - answerHow long the chief complaint has been occurring, or the time when the complaint occurred,
Timing - answerMeasurement of when or at what frequency they noticed the complaint.
Context - answerWhat the patient was doing, their environmental factors, the circumstances surrounding the complaint.
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