6 Business Test 1

Front 1

What 3 components are involved in Evaluation and Management services?

Back 1

1) History
2) Examination
3) Clinical Decision-making

Front 2

What is the time frame in which a patient is considered an existing or established patient?

Back 2

Three years

Front 3

What are some reasons why an existing or established patient can receive E/M services?

Back 3

1) Periodic Evaluations
2) Exacerbation of an existing Complaints
3) New chief complaint
4) Release or discharge from condition-based care

Front 4

What should a history lead a chiropractor to conclude?

Back 4

1) Differential diagnosis possibilities
2) Necessary examination components
3) Red flags indicating patient referral

Front 5

What 3 things is a patient history comprised of?

Back 5

1) HPI -History of present illness
2) ROS - Review of systems
3) PFSH - Past family and social health

Front 6

What is an inventory of body systems obtained by asking a series of questions in order to identify signs and/or symptoms that the patient might be experiencing?

Back 6

ROS - Review of systems

Front 7

What are the 3 types of ROS?

Back 7

1) Problem pertinent
2) Extended
3) Complete

Front 8

What are the questions that should be asked when a patient acknowledges a concern during the ROS?

Back 8

1) How long have you had the problem? (onset)
2) Who are you seeing for it? (healthcare provider)
3) What is being done for it? (Method of treatment)
4) How is it currently? (Status of the issue)

Front 9

What information is incorporated in a Past History review?

Back 9

Past illnesses, surgeries, injuries, and treatments including medication

Front 10

What information is incorporated in a Social History review?

Back 10

Smoking, alcohol, other tobacco use, exercise, diet, and sexual habits

Front 11

What information is incorporated in a Family History review?

Back 11

Age appropriate past and current diseases among family members

Front 12

When do you discuss time frame, fee for the exam, and answer any additional questions that the patient has?

Back 12

Before the exam

Front 13

What does a Problem focused exam include?

Back 13

1-5 elements total that encompasses 1 or more systems.

Front 14

What does an expanded problem focused exam include?

Back 14

6 elements total that encompasses 1 or more systems.

Front 15

What does a Detailed exam include?

Back 15

6 Systems and encompasses 2 elements in each system

Front 16

What does a Comprehensive exam include?

Back 16

9 systems that encompasses all the elements in each of the systems.

Front 17

What does forming the diagnosis require?

Back 17

Identifying the deficiencies from the exam and matching them to the most appropriate diagnosis.

Front 18

What are the 4 parts that we use to organize a diagnosis?

Back 18

1) Source
2) Cause
3) Associated
4) Resulting

Front 19

In organizing a diagnosis, what is "the condition emitting the symptoms" used to describe?

Back 19

Source

Front 20

In organizing a diagnosis, what is "the reason for the patients condition" used to describe?

Back 20

Cause

Front 21

In organizing a diagnosis, what is "Regional functional deficit" used to describe?

Back 21

Associated

Front 22

In organizing a diagnosis, what is "Deficiency in activities of daily living" used to describe?

Back 22

Resulting

Front 23

In organizing a diagnosis, what can be matched with a chiropractic adjustment?

Back 23

Cause

Front 24

In organizing a diagnosis, what can be matched with a therapeutic exercise?

Back 24

Associated

Front 25

In organizing a diagnosis, what can be matched with a therapeutic activity?

Back 25

Resulting

Front 26

What material can be linked directly to a patient initiative?

Back 26

Chief Complaint

Front 27

Recording what enables the ability to separate multiple occurrences of similar chief complaints into distinct treatment cases?

Back 27

Date of Onset

Front 28

(T/F) One procedure can be matched to multiple diagnoses?

Back 28

True

Front 29

(T/F) One diagnosis can be matched to multiple procedures?

Back 29

False

Front 30

What are some elective services that should not be billed to third party payers?

Back 30

1) Nutritional Supplements
2) Low level laser
3) Decompression Therapy
4) Kinesio Taping
5) Protocols that diagnose subluxation in lieu of an exam
6) Protocols that improve STATIC postural correction

Front 31

What is the way that patient improvement is measured?

Back 31

Goals

Front 32

What is the simple process of turning an exam or history finding into a positive achievement?

Back 32

Creating a Goal

Front 33

What are adjusting goals related to?

Back 33

Improving segmental function

Front 34

What are short term goals used to decrease pain and improve the ability to sit, stand, and walk so functional-oriented care may begin?

Back 34

Passive Goals

Front 35

What are derived from regional functional deficiency from spasm, weakness, and loss of motor control and improve strength, balance, ROM, and dynamic postural stabilization?

Back 35

Functional Goals

Front 36

What are specific to certain activities such as lifting, mobility, self-care, work-related activities, driving, and using equipment?

Back 36

Activities of Daily Living Goals

Front 37

What does HMP stand for?

Back 37

Health Maintenance Promotion

Front 38

What documents the anticipated outcome of the patients care?

Back 38

Prognosis

Front 39

What are the 2 prognosis choices for patients with complaints and functional deficiencies?

Back 39

1) Condition expected to fully resolve
2) Condition not expected to fully resolve but continued therapy expected to result in functional improvement.

Front 40

What are conditions that require alteration or specific action to the way care is routinely provided?

Back 40

Red Flags

Front 41

What is an example of an Absolute red flag?

Back 41

Chiropractic adjustment is contraindicated.

Front 42

What is an example of an Relative red flag?

Back 42

Patient requires more specialized attention when chiropractic adjusting is utilized.

Front 43

What Does 99201 mean?

Back 43

Focused History
Focused Examination
Straightforward Clinical decision making

Front 44

What does 99202 mean?

Back 44

Low to Moderate Presenting Problem
Expanded History
Expanded Examination
Straightforward Clinical decision makeing

Front 45

What does 99203 mean?

Back 45

Moderate Presenting Problem
Detailed History
Detailed Examination
Low Clinical Decision Making

Front 46

What does 99204 mean?

Back 46

Moderate to High Presenting Problem
Comprehensive History
Comprehensive Examination
Moderate Clinical Decision Making

Front 47

What does 99205 mean?

Back 47

High Presenting Problem
Comprehensive History
Comprehensive Examination
High Clinical Decision Making

Front 48

What new patient examination code do chiropractors use most often?

Back 48

99202

Front 49

What 2 new patient examination codes should not be used by chiropractors and are considered red flags to a third party payer?

Back 49

99204, 99205

Front 50

For a new patient examination, how many boxes must be met or exceeded to qualify for a particular code?

Back 50

3 boxes

Front 51

For an existing patient examination, how many boxes must be met or exceeded to qualify for a particular code?

Back 51

2 boxes

Front 52

What is the most common existing patient evaluation and management code to measure progress used by chiropractors?

Back 52

99212

Front 53

What is the most common existing patient evaluation and management code for a new complaint used by chiropractors?

Back 53

99213

Front 54

What is a nodule in skeletal muscle that causes a REFFERED pain pattern when palpated?

Back 54

Active Trigger point

Front 55

What is a nodule in skeletal muscle that causes a LOCALIZED pain pattern when palpated?

Back 55

Latent Trigger point

Front 56

What two portions of P.A.R.T must always be positive in order to perform a spinal adjustment?

Back 56

A or R

Front 57

What is the code for a spinal adjustment in 1-2 regions?

Back 57

98940

Front 58

What is the code for a spinal adjustment in 3-4 regions?

Back 58

98941

Front 59

What is the code for a spinal adjustment in 5 regions?

Back 59

98942

Front 60

When would you use codes for Hot/Cold packs?

Back 60

When exam documents inflammation, muscle spasm, or myalgia

Front 61

What is the code for hot or cold pack application?

Back 61

97010

Front 62

What is the code for a hot or cold pack bundled as a component of therapeutic exercise?

Back 62

97110

Front 63

What is the minimum amount of time that you can bill a full cycle?

Back 63

8 minutes

Front 64

What is the minimum amount of time you can bill two full cycles?

Back 64

23 minutes

Front 65

What is the time increment for 1 cycle of therapeutic exercise or activity?

Back 65

15 mins

Front 66

What is the code for Therapeutic exercise, direct patient contact?

Back 66

97110

Front 67

What is the code for Therapeutic exercise, one provider to a group of patients?

Back 67

97150

Front 68

What is the code for a non-covered (elective) Therapeutic exercise, direct patient contact?

Back 68

BCAAI

Front 69

What is Therapeutic Activities used for?

Back 69

Exercises that restore specific activities to ADL

Front 70

What is the code for Therapeutic activity, direct patient contact?

Back 70

97530

Front 71

What is the code for Neuromuscular re-education, direct patient contact?

Back 71

97112