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PROBLEM
DATA
RISK
2021 GUIDELINES
TIME-BASED CODING/PROLONGED CARE
100

A PROBLEM THAT MAY NOT REQUIRE THE PRESENCE OF THE PROVIDER, BUT THE SERVICE IS UNDER THE PROVIDER'S SUPERVISION

WHAT IS A "MINIMAL PROBLEM"?
100

LABORATORY SERVICES, DIAGNOSTIC IMAGING ARE

WHAT ARE "TESTS"?
100

THE PROBABILITY AND/OR CONSEQUENCES OF A MEDICAL EVENT, SUCH AS TREATMENT,  IS

WHAT IS "RISK"?

100

THE 2021 EM GUIDELINES LOOKS AT ONLY THE ____.

WHAT IS "MDM"?

100

REVIEWING PATIENT RECORDS IN PREPARATION OF THE OFFICE VISIT, COMMUNICATING TEST RESULTS TO THE PATIENT ARE EXAMPLES OF ______.

WHAT ARE "ACTIVITIES FOR CALCULATING TIME"?

200

A PROBLEM THAT IS EXPECTED TO LAST AT LEAST ONE YEAR OR UNTIL DEATH OF THE PATIENT THAT IS WELL CONTROLLED WITH TREATMENT MEASURES

WHAT IS A "STABLE, CHRONIC PROBLEM"?

200

EXTERNAL RECORDS COME FROM

WHO ARE "EXTERANL PROVIDERS, FACILITIES OR HEALTHCARE ORGANIZATIONS"?
200

FOOD INSECURITY, HOMELESSNESS, AND UNEMPLOYMENT ARE EXAMPLES OF THIS

WHAT IS "SOCIAL DETERMINANTS OF HEALTH"?

200

THE ELEMENTS ANALYZED UNDER MDM ARE_____.

WHAT ARE "PROBLEM, DATA, RISK"?

200

THE CPT CODE FOR WHEN THE PROVIDER DOCUMENTS 25 TOTAL MINUTES SPENT ON AN ENCOUNTER FOR A NEW PATIENT.

WHAT IS "99202"?

300

SYSTEMIC SYSTEMS MEANS THIS

WHAT IS "SYMPTOMS AFFECTING ONE OR MORE ORGAN SYSTEMS"?
300

AN EXTERNAL PHYSICIAN IS SOMEONE WHO IS IN A 

WHAT IS "DIFFERENT GROUP PRACTICE, SPECIALTY OR SUBSPECIALTY"?
300

MORBIDITY IS

WHAT IS "A STATE OF ILLNESS OR FUNCTIONAL IMPAIRMENT THAT IS EXPECTED TO BE LONG-TERM WITH LIMITED FUNCTION, IMPAIRED QUALITY OF LIFE OR ORGAN DAMAGE"?

300

2+ STABLE CHRONIC ILLNESSES ARE THIS LEVEL OF PROBLEM

WHAT IS "MODERATE"?

300

GG212 IS THE PROLONGED CARE CODE FOR _______.

WHO IS "MEDICARE"?

400

UNDIAGNOSED NEW PROBLEM WITH UNCERTAIN PROGNOSIS IS

WHAT IS "A PROBLEM IN THE DIFFERENTIAL DX THA TREPRESENTS A CONDITION LIKELY TO RESULT IN A HIGH RISK OF MORBIDITY WIHTOUT TREATMENT"?
400

A PARENT OR GUARDIAN IS AN EXAMPLE OF A

WHAT IS AN "INDEPENDENT HISTORIAN"?

400

RISK ALSO INCLUDES MDM RELATED TO INITIATING, FOREGOING OR TERMINATING THESE THINGS

WHAT ARE "TESTING, TREATMENT, AND/OR HOSPITALIZATION"?

400

2 TESTS & DOCUMENTS, 1 INDEPENDENT HISTORIAN, AND 1 INDEPENDENT INTERPRETATION OF TEST IS A _______ LEVEL

WHAT IS "HIGH"?

400

THE CPT CODE FOR THE AMA'S PPROLONGED CARE

WHAT IS "99417"?

500

A CHRONIC ILLNESS WITH SEVERE EXACERBATION, PROGRESSION OR SIDE EFFECTS TO TREATMENT HAS THIS AND MAY REQUIRE THIS

WHAT IS "HAS HIGH RISK OF MORBIDITY AND MAY REQUIRE HOSPITALIZATION?

500

AN APPROPRIATE SOURCE IS

WHAT IS "INDIVIDUALS WHO ARE NOT HEALTHCARE PROFESSIONALS BUT ARE INVOLVED IN THE MANAGEMENT OF THE PATIENT (IE LAWYERS, CASE MANAGER, CLERGY)"?
500

AN EXAMPLE OF MONITORING FOR TOXICITY OF DRUG THERAPY IS

WHAT IS "A LAB TEST, PHYSIOLOGIC TEST, OR IMAGING"?
500

MONITORING TOXICITY FROM DRUG THERAPY IS AN EXAMPLE OF A _______ RISK LEVEL.

WHAT IS "HIGH"?

500

THESE ARE THE UNITS FOR A G2212 WHEN THE PROVIDER DOCUMENTS 116 MINUTES FOR A NEW PATIENT VISIT

WHAT ARE "2 UNITS"?