which category is used to report service for patient seen in stand-alone ambulatory care centers/

Now up your study game with Learn mode. Which category is used to report services for patients seen in stand-alone ambulatory care centers? Office or Other Outpatient Services is used to report services rendered by a physician to a patient in a hospital observation area.

Full Answer

Which category is used to report services in stand-alone ambulatory care centers?

Which category is used to report services for patients seen in stand-alone ambulatory care centers? Office or Other Outpatient Services (refer to notes below the Office or Other Outpatient Services category) Office or Other Outpatient Services is used to report services rendered by a physician to a patient in a hospital observation area.

Which is used to report services provided to patients in hospital?

Office or Other Outpatient Services is used to report services rendered by a physician to a patient in a hospital observation area. T or F FALSE Which category is used to report services provided to patients in a partial hospital setting?

Is the service identified in question 4 required by another physician?

The service identified in question 4 must be requested by another physician (e.g., attending physician). T or F FALSE (refer to the note below the Consultations category). Consultations provided in a physician's office are reported using office or other outpatient services codes.

How many initial consultations are to be reported per hospital admission?

Only one initial consultation is to be reported by a consultant per hospital inpatient admission. T or F True A consultant who participates in management of an inpatient after conducting an initial consultation will report services using codes from which subcategory?

When an unlisted procedure or service code is reported a special report must accompany the claim to describe the procedure or service?

When an unlisted procedure or service code is reported, this "report" must accompany the claim to describe the nature, extent, and need for the procedure or service along with the time, effort, and equipment necessary to provide the servie.

When the physician determines the patient's main reason for the encounter this information is referred to as the?

When the physician determines the patient's main reason for the encounter, this information is referred to as the: chief complaint. The modifier -32 is used to indicate: mandated services (used when requested by the payer).

Which of the following entities would be given a referral number by the patient quizlet?

Which of the following entities would be given a referral number by the patient? (A referral number is an authorization number given by the patient to the referred physician.) certification number. (Prior authorization number and certification number have the same meaning.)

Which component is included in the surgical package quizlet?

also called package concept or surgical package; includes the procedure, local infiltration, metacarpal/digital block or topical anesthesia when used, and normal, uncomplicated follow-up care.

What is E and M services?

Evaluation and management codes, often referred to as E&M codes or E and M codes are a coding system that involve the use of CPT codes from the range 99202 to 99499 which represent services provided by a physician or other qualified healthcare professional.

What is chief complaint of a patient?

INTRODUCTION. A chief complaint is a concise statement in English or other natural language of the symptoms that caused a patient to seek medical care. A triage nurse or registration clerk records a patient's chief complaint at the very beginning of the medical care process (Figure 23.1 ).

What type of information is included in a patient's social history?

History, social: An account of a patient that puts his or her illness or behavior in context. A social history may include aspects of the patient's developmental, family, and medical history, as well as relevant information about life events, social class, race, religion, and occupation.

In what format are health care claims sent?

The 837P (Professional) is the standard format health care professionals and suppliers use to send health care claims electronically.

Which Hipaa transaction is used to check patient's coverage?

Under HIPAA, HHS adopted standards for electronic transactions, including the health plan eligibility benefit inquiry and response. The eligibility/benefit inquiry transaction is used to obtain information about a benefit plan for an enrollee, including information on eligibility and coverage under the health plan.

What type of code is used for reporting each procedure and service that the physician has documented in treating the patient?

Current procedural terminology (CPT) is a set of codes, descriptions, and guidelines intended to describe procedures and services performed by physicians and other health care providers. Each procedure or service is identified with a five-digit code.

What code is used to report routine postoperative care?

CPT chapterQuestionAnswerWhat code is used to report routine postoperative care?99024When an excision is being performed, the "margins" refer to the __________ required to adequately excise the lesion based on the physician's judgment.NARROWEST MARGIN24 more rows

Which service is included as part of the surgical package?

The global surgical package concept includes the pre-operative, intra-operative and post-operative services, and are considered included in the specific CPT code.