Care Management: Patient Engagement and Quality Gap Closure – Post Test Copy

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Question 1 of 10

1. Question
9. What “services” ARE appropriate for use to capture time in delivery of CCM services? Select ALL that apply
- a. The time spent coordinating Meals on Wheels for the CCM patient
- b. The time spent in seeing the patient for an office visit related to the CCM diseases that qualify the patient for this service
- c. The time spent filling out reduced/free medication applications for a high cost medication
- d. The time spent filling out a form for a “handicap sticker”
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Question 2 of 10

2. Question
10. When clinical staff spend more than 20 minutes of CCM related services in a given month, adding time-based billing is possible. If an additional 20 minutes is delivered (over the baseline 20 minute threshold) the code G2058 (99439 in 2021) can be added to the 99490 code. True statements regarding G2058/99439 include (select ALL that apply) …
- a. This can be added two times in a given month once 40 minutes of CCM care over the base 20 minute threshold is documented
- b. It is only added to the 99490 code
- c. It is only used with physician (not staff) CCM care delivery
- d. It is linked to complex care management codes 99487 and 00489 as well
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Question 3 of 10

3. Question
1. The following are TRUE with respect to Chronic Care Management services in 2021 …
- a. Patients need to have three or more chronic conditions that are expected to last more than 12 months, or until the death of the patient, to qualify
- b. Use of a patient-centered care plan is required for delivery of this service
- c. Written permission is required before services can be delivered
- d. CCM care is a co-pay and deductible waived for the beneficiary
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Question 4 of 10

4. Question
2. The number of providers allowed to bill for CCM services is
- a. One provider per lifetime
- b. One provider per month
- c. Multiple providers per month as long as the specialties are different
- d. Multiple providers per month as long as the diseases managed are different
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Question 5 of 10

5. Question
3. Chronic Care Management services are best offered after an initiating visit is completed to outline specifics of the care to be offered. This visit is coded using G0506 and is added to the E/M visit that day. It is to be done (select all that are TRUE):
- a. Once, per patient by a provider, in a lifetime to initiate the service
- b. Only with the highest level codes (99215 and 99205)
- c. Only with the Subsequent Annual Wellness Visit (AWV), but not the Initial AWV or the “Welcome to Medicare” visit
- d. It can be billed each month the service is delivered
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Question 6 of 10

6. Question
4. The initial time course to be exceeded in a given month to bill the 99490 is
- a. 20 minutes
- b. 30 minutes
- c. 60 minutes
- d. None of the above are correct
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Question 7 of 10

7. Question
5. The Care Plan is described as being a “roadmap” for the patient, provider, and care team to have as a “living plan of care”. It should include (select ALL that apply):
- a. An attention to the physical, mental, cognitive, psychosocial, functional and environmental aspects of a patient’s care
- b. A review of the patient’s problems (especially those conditions that triggered the deployment of CCM)
- c. A summary of the patient’s goals to be addressed in CCM
- d. A medication review/reconciliation
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Question 8 of 10

8. Question
6. All of the following team members would NOT be appropriate to help the provider deliver CCM services EXCEPT:
- a. The front desk staff member who does scheduling who is a high school graduate
- b. The file clerk who graduated from a local Tech school with a degree in business
- c. The LPN who answers patient phone calls
- d. The Practice Manager of 22 years who has a two-year Associate degree in Business Administration in Healthcare
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Question 9 of 10

9. Question
7. What “services” are NOT appropriate for use to capture time in delivery of CCM services? Select ALL that apply
- a. Discussion with the pharmacy related to an early refill request from the CCM-assigned patient. Time spent in chart review and communication back to the patient of your determination is also appropriate
- b. Preventive services outreach to discuss getting a mammogram and the time spent to refer the patient for this service
- c. A follow-up phone call one week after an office visit with the PCP overseeing the CCM care to ensure that all was understood during the last visit
- d. Asking your Practice Administrator to run a report of all of your diabetics (your CCM patient has diabetes) with their last A1c to see who needs to come in for a follow-up DM visit prior to year-end
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Question 10 of 10

10. Question
8. What “services” are appropriate for use to capture time in delivery of CCM services? Select ALL that apply
- A follow-up call to a clinically unstable CCM patient who was seen yesterday with COPD exacerbation to make sure they do not need to be seen sooner
- A follow-up call to a patient who you were notified went to the ED last PM to be seen for a URI with cough. The call is made by staff for a clinical follow-up as well as to educate the patient that in-office care with the PCP is preferred over after-hours ED care, unless emergent attention is needed
- A call to a patient to let them know the results of the punch biopsy 4 days ago, stating that it was benign and that no follow-up (other than suture removal) is needed
- Capturing the time spent in review of the ED report of a CCM patient indicating a pleural effusion in a HF patient and then the review of the cardiology notes from yesterday including her recommendations for your management. Additionally, the time your nurse spends to call the patient to have them come in for an appointment for you to re-evaluate the patient and decide on a treatment plan
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Care Management: Patient Engagement and Quality Gap Closure – Post Test Copy

Care Management: Patient Engagement and Quality Gap Closure – Post Test Copy

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