CCEP Lesson 9 Module 1.a Homework – Evaluation and Management Services Guidelines and Level of MDM

Evaluation and Management Services Guidelines and Level of MDM

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Newborn check, age 4 days, mild jaundice and feeding problem; both improving, continue breastfeeding.

Column 1:        Minimal

Column 2:        N/A

Column 3:        Minimal

Cellulitis, prescription drug management

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Column 1:        Low (acute uncomplicated illness)

Column 2:        N/A

Column 3:        Moderate Risk (RX)

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A 22-year-old established patient presents with symptoms consistent with STI, confirmed by testing. Prescription medication is provided.

Column 1:           Low for acute, uncomplicated illness                                                                               

Column 2:         Low: ordering each unique test (may be moderate due to number of tests ordered)

Column 3:          Moderate for prescription drug management

Asthma with exacerbation, prescription drug management

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Column 1:        Moderate

Column 2:        N/A

Column 3:        Moderate

53yo f/u T2DM, still uncontrolled (random BS and A1C today) insulin adjusted.

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Column 1:        Moderate

Column 2:       Low

Column 3:       Moderate

Multiple chronic illnesses, all stable on medication, labs due in 6 months (order placed for 4 unique tests).

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Column 1:         Moderate

Column 2:        Moderate

Column 3:        Moderate

An established patient with HTN and T2DM presents today for his regular quarterly visit. Both conditions are stable, labs are due and ordered, refills are provided. RTC in 3 months.

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Column 1:        Moderate for two or more stable chronic illnesses

Column 2:        Low or moderate, depending on number of labs ordered

Column 3:        Moderate for prescription drug management

Select all answers which are correct for this statement: A patient is considered to be New if:

Your physician is covering for a physician in another practice and saw one of their established patients today.  Your physician has never seen this patient before.  Is the patient coded as New or Established?

If two doctors in the same group/practice, who are of two different specialties, see the same new patient on the same day for different problems, the E/M New and/or Established status for these doctors is: