A 61-year-old male patient was brought into the emergency department (ED) after having lost consciousness in a grocery store. The ED physician took an expanded problem focused history and performed a detailed exam. The medical decision-making was of moderate complexity. The correct evaluation and management (E/M) code to report for the ED physician is 

Medical Coding is used for many reasons, including:

The primary classification systems that must be used under HIPAA are CPT Level I codes, HCPCS Level II codes, ICD-10-CM codes, and ICD-10-PCS codes.

A person who has received professional services from the physician or QHP or another physician or QHP of the exact same specialty and subspecialty who belongs to the same group practice, within the past three years.

When did the development and use of Level II of the HCPCS begin?

_______ decides the outpatient facility payment

The Office of the Inspector General’s purpose is to identify and eliminate fraud, waste, and abuse in the department’s programs.

Name at least three pieces of information that the practice should have when scheduling a patient visit.

Fraud and abuse in healthcare is a small issue with little financial or healthcare ramifications.

If a medical record is complete, it will include an individual’s past, present, or future physical or mental health along with a provision of health care for the individual and the past, present, or future payment for the provision of health care to the individual.