I think I Know it
2023 Office and Other Outpatient Evaluation and Management Guidelines
Definitions
Fun Fact
MDM Elements
100

In 2023, an office or outpatient E/M level is leveled based on:

A. Total Time for E/M services on DOS

B. MDM

C. All of the above

D. None of the above 


What is C, All of the above

100

 If a previous visit’s note was copied and pasted into the current note and no documentation [added] to indicate that the condition was addressed, then this should not count toward MDM.

A. true

B. false

What is True

100

A problem in the differential diagnosis that represents a condition likely to result in a high risk of morbidity without treatment. An example may be a lump in the breast. 

A. acute illness 

B. undiagnosed new problem 

w/ uncertain prognosis

C. none of the above

What is B- undiagnosed new problem w/ uncertain prognosis

100

Who is Santa Claus based off of?

A. St. Patrick

B. St. Nicholas

C. None of above

What is B. St. Nicholas

100

For Moderate Risk, you must meet            categories in the amount and/or complexity of data element:

A. at least 1 out of 3

B. at least 2 out of 3

C. at least 3 out of 3

What is, A. at least 1 out of 3

200

M.E.A.T criteria stands for

M-Monitor

E- Examined

A- Assessed

T- Treated


200

A chronic condition which is "not at treatment goal" would code to:

A. chronic illness

B. acute illness

C. chronic illness w/ exacerbation or progression

What is C- chronic illness w/ exacerbation or progression

200

The process of using the data as part of the MDM:

A. analyzed

B. test

C. appropriate source

What is A- analyzed

200

How many calories on average are consumed, per person, at Thanksgiving dinner? 

A. 4,500

B. 3,000

C. 2,500

What is A. 4,500

200

Diagnosis or treatment significantly limited by social determinants of health is an example of:

A. low risk

B. moderate risk

C. high risk

What is B. moderate risk

300

There are          categories for the level of MDM in 2023:

A. 1

B. 4

C. 3

What is C- 3

300

Summarizing an x-ray read by radiology or an EKG read by cardiology is an example of:

A. discussion

B. independent interpretation of test

C. appropriate source

What is B- independent interpretation of test

300

The probability and/or consequences of an event. It's based upon the usual behavior and thought processes of a physician or other qualified health care professional in the same specialty:

A. risk

B. morbidity 

C. social determinants of health

What is A-risk


300

Which President first ordered a national day of Thanksgiving? 

A. Geroge Washington

B. Andrew Jackson

C. Harry S. Truman

Who is A. Geroge Washington


300

Sepsis, acute MI and severe respiratory distress are examples of:

A. acute illness w/ systemic symptoms

B. undiagnosed new problem w/ uncertain prognosis

C. acute or chronic illness or injury, which poses a threat to life

What is C, acute or chronic illness or injury, which poses a threat to life

400

An example of an independent historian is:

A. spouse

B. translator

C. none of the above


What is, A- spouse


400

Management of prescription drug, minor surgery with identified risk factors, decision regarding major surgery without identified risk factors are examples of what risk of morbidity:

A. high

B. low

C. moderate

What is C- moderate


400

        of a test for which there is a CPT code, and a report is customary. Should be documented but need not conform to the usual standards of a complete report for the test:

A. appropriate source

B. independent interpretation

C. independent historian

What is B- independent interpretation

400

What percent of Americans skip turkey on Thanksgiving? 

A. About 10%

B. About 15 %

C. About 12 %

What is C. About 12 %

400

1 undiagnosed new problem w/ uncertain prognosis, hx provided by husband, 4 unique tests ordered, discussed treatment goals with another external physician and on heparin drip. 

What level of MDM is this coded to:

A. moderate risk

B. low risk

C. high risk


What is C. high risk

500

An example of an acute illness w/ systemic symptoms:

A. UTI

B. Pneumonitis 

C. Allergic rhinitis

What is, B- Pneumonitis 

-An illness that causes systemic symptoms and has a high risk of morbidity without treatment.

-Patient has symptoms in other body areas/organ systems than condition

 

500

The amount of data reviewed has 3 categories, which are:1. Test & documents, 2. Assessment requiring an independent historian and 3 is:



What is Discussion and mgmt / test interpretation. 

500

A state of illness or functional impairment that is expected to be of substantial duration during which function is limited, quality of life is impaired, or there is organ damage that may not be transient despite treatment:

What is morbidity

500

 Black Friday is the biggest day of the year for what trade profession? 

A. Electricians

B. Plumbers

C. General contractors

What is B. Plumbers

500

60 y/o male here for follow up HTN and HL. Doing well, no complaints. Meds reviewed. 

1. HTN - well controlled on lisinopril 20 mg and thiazide diuretic 25 mg daily. Continue current medications. 

2. HL - on Atorva 20 mg daily. No side effects. Last lipid panel 6 mo ago at goal. Continue current treatment. Next visit in 6 mo for follow up and wellness check.

This is coded to what level of MDM:

A. low risk

B. moderate risk

C. high risk


What is B. moderate risk