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The detailed history component requires
In the Evaluation and Management educational session, the instructor spoke of “4 + 2 + 1” as a mnemonic that can be useful in documenting a history that was “detailed”, indicative of a 99214 type of encounter. The following is correct regarding the detailed history EXCEPT:
The correct number of Review of Systems (ROS) to be documented for a comprehensive (“99215”) encounter is at least
Managing three chronic problems (assessing condition and updating status), all of which are stable where the provider states “stable today, continue current medication” is indicative of what level of MDM as it relates to the diagnoses managed in the encounter?
When assigning a level of MDM to the encounter, the following is TRUE regarding the three components (Diagnoses, Data, and Risk)…
A patient presents with a recheck of her blood pressure that was diagnosed 3 weeks ago. The patient was placed on Lisinopril 10mg daily, to take at night. Her BP today is 155/92, the same as her numbers at home for the last week and much better than at diagnosis of 188/102. You increase the Lisinopril. For the hypertensive diagnosis managed at this encounter, her MDM would be
Managing a prescription medication is indicative of what level of MDM on the RISK table?
When documenting the examination from the 1997 General Multisystem Examination Tool, which of the following is FALSE?
The patient with a new problem (acute abdominal pain, RLQ) presents to the office. You are not sure what the etiology is of her condition, but she needs urgent evaluation and further work-up. Her husband is with her to drive her to the ED to be seen. She is clinically stable for this degree of transportation. The MDM of the risk associated with this encounter is
Which one of the following is TRUE?