Answer the following statements true (T) or false (F)

1. No distinction is made between new and established patients in coding for emergency room care.
2. An established patient is defined as one who has received professional service from the physician or another physician of the same specialty in the same group within the last 5 years.
3. A physician providing a consultation must document his or her opinion in the medical record and render the opinion in writing to the requesting physician.
4. E/M codes are used to report a significant portion of physician services.
5. A description of other things that happen when the symptom or pain occurs is referred to as a "modifying factor."


1. TRUE
2. FALSE
3. TRUE
4. TRUE
5. FALSE

Health Professions

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If the pediatric patient with epiglottitis is maintaining the airway, do NOT put anything _______________________________ _______________________________ _______________________________

Fill in the blank(s) with correct word

Health Professions

A construction worker was accidentally shot with a nail gun. The nail penetrated the skull approximately ½ inch through the temporal region. Before your arrival, coworkers pulled the nail free. Based on the mechanism of injury, which sign provides the strongest evidence that the meningeal layers have been broken?

A) Blood draining from the puncture wound B) Crepitus of the skull at the injury site C) Deformity and depression at the injury site D) Cerebrospinal fluid oozing from the puncture wound

Health Professions

Kathy is utilizing a computer-based application to assign CPT codes to outpatient cases in which she answers a series of prompts based on the documentation available in the record. This system is called a(n):

A. grouper. B. computer-assisted coding. C. abstracting. D. encoder.

Health Professions

In the diagnostic phrase “acute bursitis of the right hand,” the word acute is a modifying term.

Answer the following statement true (T) or false (F)

Health Professions