Exam 38176000

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Exam 38176000

By | August 2013
Page 1 of 3
1.) The first goal of the physician payment reform is to redistribute payments more equitably by ensuring that physicians receive a fair payment for services rendered. The next goal is to decrease the amount that Medicare pays out by promoting preventative care and preventing unnecessary hospital stays. The third goal is to ensure that medical treatment be available for all patients by ensuring quality healthcare at a reasonable rate. 2.) Modifier -25 would be the appropriate choice. It is a separately identifiable service provided by the same physician on the same day. 3.) Medicare pays physicians for services based on three basic components called relative value units. The first is physician work which is the time, skill, and training it takes to provide a particular service. The next is practice expense which is everything that goes into running a practice, like rent, equipment, supplies, ect.. The last of these is malpractice which covers the cost of professional liability expenses. 4.) The first types of people that are eligible for Medicare are those who are age 65 and over. The second are people who are disabled and drawing social security disability, and the third are people who are in the end stage of renal disease. 5.) The six basic location methods to locate main terms in the index of the CPT manual are, service or procedure, anatomic site, condition or disease, synonym, eponym, and abbreviation. 6.) 99253 is the appropriate E/M code. The consultation was with a detailed history, a detailed exam, and MDM of low complexity. 7.) Of the four elements of history the first is the chief complaint. Second is the history of present illness. Third is the review of systems, and fourth is past, family, and/or social history. 8.) The complexity of medical decision making is based on these three elements. First is the number of diagnosis or management options, second is the amount and/or complexity of data to review, and third is the risk...