1. D. Only a Level 3 code requires a comprehensive ROS C. Both codes require high complexity decision making B. Level 2 codes require examination of only 2 body areas A. Both codes require a comprehensive history and physical Which statement is true regarding level 2 and level 3 initial inpatient codes? Click the Correct Choice

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3. Both level 2 and level 3 initial inpatient codes require a comprehensive history and physical. The difference is in the medical decision making; complexity is moderate for level 2 and high for level 3. Congratulations, that is Correct! Continue

4. D. Medical decision making C. Review of systems B. Past medical history A. Interval history All are assessed in key component documentation of subsequent inpatient visits EXCEPT Click the Correct Choice

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6. < BackContinue For subsequent inpatient visits, history and physical exam documentation expectations are reduced, with preservation of medical decision making criteria. No new Past/Social/Family history is required for subsequent inpatient visits. Some ROS data is required to support a higher history level. However, just as for outpatients, subsequent care visits are coded based on 2 of the 3 key components. Congratulations, that is Correct!

7. D. Medical decision making risk C. Time spent by the physician on the unit B. Age of the patient A. Duration of hospitalization How are discharge service codes selected? Click the Correct Choice

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9. < BackContinue Discharge codes are based on time spent on the unit discharging the patient. Congratulations, that is Correct!

10. D. Observation code only C. Observation Admission code + Observation Discharge code B. Observation code + Observation Discharge code A. Observation code + Standard Discharge code A patient is “admitted for observation” at 5 AM and discharged at 2 PM. You should bill: Click the Correct Choice

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12. < BackContinue Congratulations, that is Correct! Standard observation codes include bundled payment for same day discharge. A separate Observation Admission code and Observation Discharge code are used only when services spread over 2 calendar days.

13. D. There is only one Observation Discharge code C. Age of the patient B. Medical decision making risk level A. Time spent by the physician on the care unit discharging the patient How is an Observation Discharge code selected? Click the Correct Choice

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15. Congratulations, that is Correct! There is only one Observation Discharge code, used for next calendar day discharge of an observation patient. Unlike inpatient discharge, there is no time based assessment. You’ve completed Quick Quiz #4.