Physician Readiness Assessment

Are you prepared for the changes coming with 2023 E/M Guidelines?

How well do you know the new scoring methodology for emergency E/M level of service?

This is a simple, 10-question assessment to judge your understanding of and readiness for the new E/M guidelines effective January 1, 2023. Without adjustments to your encounter documentation, you may face the risk of seeing a decrease in the level of E/M services under these new guidelines.

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* 1. True or False: In 2023, I will need to document a Review of Systems to impact the E/M level assigned to the encounter.

True

False

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* 2. Which of the following is NOT part of the components to score an encounter in 2023:

PROBLEM: Complexity of Problems Addressed

DATA: Amount and complexity of data reviewed/analyzed

PHYSICAL EXAM: detailed physical exam based on complexity of encounter

RISK: Hospitalization/ Medication/ Treatment Considered

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* 3. When using the MDM Scoring system, the level is assigned using PROBLEM/ DATA/ RISK as part of the “MDM Grid”. The level for the encounter is based on the highest of how many of these categories?

The highest score in any of the 3 categories is used to assign the E/M Level

The highest of any 2 of the 3 categories is used to assign the E/M Level

All three categories must score the same for the highest E/M Level to be assigned

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* 4. Which of the following are elements of the MDM Category of Number and Complexity of Problems Addressed:

Impact of chronic medical conditions on chief complaint (example poorly controlled DM with Chief Complaint of Chest Pain)

A differential diagnosis which includes potential threats to life or limb based on chief complaint

Documentation of each complaint if a patient presents with more than one concern

ALL OF THE ABOVE should be used to document the Complexity of Problems Addressed

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* 5. True or False: In the MDM Category of Data Reviewed and Analyzed, if I use a scoring tool such as PECARN or Wells and decide NOT to perform a test, I will still receive credit for data.

True

False

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* 6. All of the following are considered independent historians EXCEPT for:

Parents of a Child

EMS

Police

Language Interpreter

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* 7. True or False: When ordering and reviewing lab panels such as a CBC and BMP, the component tests (eg. hemoglobin, sodium, potassium, creatinine, etc.) each count as an individual test in the counting of tests.

True

False

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* 8. When documenting the review of a prior external note, this includes all of the following EXCEPT:

Primary care note

Urgent care note

Review of a previous CT report

Hospital discharge note

Review of my group’s prior ED note

Review of an ED note from an ED not staffed by my group

Nursing home records

Social work / psychologist note outlining an involuntary psychiatric hold

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* 9. True or False: Credit is given for discussion of management or test interpretation with an external physician or qualified health professional if spoken to by phone, text, or secure messaging.

True

False

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* 10. All of the following are TRUE with the new 2023 guidelines EXCEPT:

Prescription Drug Management includes prescription strength medications administered in the ED even if a discharge prescription is not provided.

Documenting the impact of social determinants of health such as homelessness, inability to afford prescriptions, substance abuse, can lead to a higher risk category.

My interpretation of a rhythm strip (aka cardiac monitor) counts as an independent interpretation of a test.

If I discharge a patient from the ED even with a high complexity condition, I do not get credit for high management risk.

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* 11. Please enter your personal profile information. If your group is requiring your completion of this assessment, your information must be entered to receive credit for completion.

First Name

Last Name

Practice Name

Practice State

Email Address