because your patients come first. coding jeopardy 100 300 100 300 100 300 100 200 300 400 500...
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Because your patients come first.Because your patients come first.
Coding Jeopardy
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Outpatient Observation Inpatient ER / CC
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Final JeopardyFinal Jeopardy
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Because your patients come first.Because your patients come first.
100
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Because your patients come first.Because your patients come first.
Of the history, exam and decision making - this is the
driving force behind code selection
Back to the Jeopardy Board
Back to the Jeopardy Board
Outpatient 100
1
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Because your patients come first.Because your patients come first.
100
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Because your patients come first.Because your patients come first.
Observation 100
This must be in the patients record
anytime a provider wants to bill for
observation careBack to the
Jeopardy BoardBack to the
Jeopardy Board6
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Because your patients come first.Because your patients come first.
100
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Because your patients come first.Because your patients come first.
Inpatient 100If the doctor admits a patient
in the morning and sees them again for a different
problem later the same day you may bill with the
following series of code(s) Back to the
Jeopardy BoardBack to the
Jeopardy Board8
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Because your patients come first.Because your patients come first.
100
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Because your patients come first.Because your patients come first.
ER / Critical Care 100
This is the only time a provider can bill a hospital
visit and critical care on the same day
Back to the Jeopardy Board
Back to the Jeopardy Board15
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Because your patients come first.Because your patients come first.
200
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Because your patients come first.Because your patients come first.
Outpatient 200
In addition to documentation, E&M codes can also be selected
by thisBack to the
Jeopardy BoardBack to the
Jeopardy Board2
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Because your patients come first.Because your patients come first.
200
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Because your patients come first.Because your patients come first.
Observation 200
In the event your patient is in observation for more than two calendar days, use these types of E&M
codes for day two Back to the
Jeopardy BoardBack to the
Jeopardy Board6
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Because your patients come first.Because your patients come first.
200
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Because your patients come first.Because your patients come first.
Inpatient 200The proper way to code when
Dr. A (on call doctor) in one group sees Dr. B’s patient on the same day for a different problem - same specialty
Back to the Jeopardy Board
Back to the Jeopardy Board8
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Because your patients come first.Because your patients come first.
200
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Because your patients come first.Because your patients come first.
ER / Critical Care 200
The following describes the proper way to code for a physician
providing 35 minutes of critical care
Back to the Jeopardy Board
Back to the Jeopardy Board14
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Because your patients come first.Because your patients come first.
300
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Because your patients come first.Because your patients come first.
Outpatient 300
This modifier requires you have a separately identifiable note in the
patient’s chart
Back to the Jeopardy Board
Back to the Jeopardy Board4
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Because your patients come first.Because your patients come first.
300
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Because your patients come first.Because your patients come first.
Observation 300In the event a patient is in
“observation” and is “admitted” later on the same day, Medicare will pay for these series of
code(s)Back to the
Jeopardy BoardBack to the
Jeopardy Board6
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Because your patients come first.Because your patients come first.
300
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Because your patients come first.Because your patients come first.
Inpatient 300
This is the only E&M code you can bill on the same day as a hospital
or observation discharge Back to the
Jeopardy BoardBack to the
Jeopardy Board9
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Because your patients come first.Because your patients come first.
300
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Because your patients come first.Because your patients come first.
ER / Critical Care 300If a personal physician is asked to consult on their patient in the ER by the ER attending and based on the
personal physicians opinion and advice, the patient is admitted by the ER physician, the personal physician would use these series of codes for
his consultation service
Back to the Jeopardy Board
Back to the Jeopardy Board12
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Because your patients come first.Because your patients come first.
400
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Because your patients come first.Because your patients come first.
Outpatient 400
This is the only time you can bill an office visit and admission on the same day
Back to the Jeopardy Board
Back to the Jeopardy Board5
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Because your patients come first.Because your patients come first.
400
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Because your patients come first.Because your patients come first.
Observation 400This is the series of
code(s) you would use to bill for a visit
“observation” on day one and an “admission”
on day twoBack to the
Jeopardy BoardBack to the
Jeopardy Board6
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Because your patients come first.Because your patients come first.
400
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Because your patients come first.Because your patients come first.
Inpatient 400
Back to the Jeopardy Board
Back to the Jeopardy Board14/15
This is the proper series of code(s) to use for a patient who received critical care in the ER and was then admitted later
that day by the same physician
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Because your patients come first.Because your patients come first.
400
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Because your patients come first.Because your patients come first.
ER / Critical Care 400
The physician billing for critical care can only
count his/her time in two places. 1) at the
immediate bedside and 2)__________ Back to the
Jeopardy BoardBack to the
Jeopardy Board13
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Because your patients come first.Because your patients come first.
500
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Because your patients come first.Because your patients come first.
Outpatient 500
Back to the Jeopardy Board
Back to the Jeopardy Board16 / 17
These codes are used when the provider spends 30
minutes or more over the time allocated for the E&M
code selected
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Because your patients come first.Because your patients come first.
500
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Because your patients come first.Because your patients come first.
Observation 500If a patient is placed in
“hospital observation” and the admitting physician
requests a consultation, this series of codes would be
selected by the consulting provider.
Back to the Jeopardy Board
Back to the Jeopardy Board6
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Because your patients come first.Because your patients come first.
500
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Because your patients come first.Because your patients come first.
Inpatient 500This is the proper way to code when Dr. A spends 90 minutes of unit/floor
time (family counseling) during a subsequent hospital visit when the
MDM supports a 99231
Back to the Jeopardy Board
Back to the Jeopardy Board17
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Because your patients come first.Because your patients come first.
500
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Because your patients come first.Because your patients come first.
ER / Critical Care 500This is the proper way to code
for a patient in the ER receiving critical care
between the hours of 11:30PM to 1:00AM the following day
Back to the Jeopardy Board
Back to the Jeopardy Board14
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Because your patients come first.Because your patients come first.
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Because your patients come first.Because your patients come first.
Final JeopardyFinal JeopardyThese are the six E&M codes that can be billed
with a nursing home admission - 99303These are the six E&M codes that can be billed
with a nursing home admission - 99303