Procedure Coding Review Pt 2

What is the purpose of an E&M audit?

• To evaluate the efficiency of medical equipment

• To assess the accuracy of coding and documentation

• To determine the financial health of a medical office

• To review patient satisfaction levels

How should the medical office prepare for an audit?

• By hiring more staff

• By updating their medical equipment

• By ensuring all documentation is accurate and complete

• By conducting patient surveys

What do Evaluation and Management (E&M) codes describe?

• Patient encounters with a physician for evaluation and management of a health problem.

• Procedures performed during surgery.

• Laboratory test results.

• Prescription medications.

Which numbers do most frequently used E&M codes begin with?

• 88

• 77

• 99

• 66

Where is the E&M section located in the CPT manual?

• At the end of the manual.

• In the middle of the manual.

• At the front of the manual.

• On the back cover of the manual.

What is the purpose of an audit in the context of Evaluation and Management (E&M) services?

• To ensure that every detail of the E&M code is clearly documented

• To increase the revenue of the medical office

• To train new employees in the medical office

• To reduce the number of patients in the medical office

Where is an internal audit conducted?

• Within the medical office

• By an insurance company

• By Medicare

• At a patient's home

Who typically conducts an external audit for E&M services?

• An outside organization, such as an insurance company or Medicare

• The medical office staff

• The patients themselves

• The local government

What is one of the first steps in preparing for an audit according to the document?

• Contact the insurance company

• Access the patient's record

• Schedule a meeting with the patient

• Review the billing codes

Which of the following is NOT mentioned as a way to access the patient's record?

• Electronic health record (EHR) system

• Paper chart from the filing area

• Verbal confirmation from the patient

• Retrieve a copy of the insurance claim