ACMPE Article Assessment - Medical decision making: What is it, why is it important and what steps are involved?

Question Title

1. Centers for Medicare & Medicaid Services (CMS) is moving toward requiring only MDM as the sole leveling factor for outpatient visits. (Required.)

True

False

Question Title

2. The medical decision making (MDM) section of an encounter contains which of the following: (Required.)

Test results and other data reviewed

Diagnoses and treatment options

The patient’s risk of complications and/or morbidity or mortality

All of the above

Question Title

3. For diagnoses, new problems are defined as a presenting problem without a _____________ diagnosis. (Required.)

Unestablished

Established

Question Title

4. Three categories (presenting problem, diagnostic procedure ordered, and management options) reflect the overall complexity of care and patient risk. Scoring for each of these categories is necessary. (Required.)

True

False

Question Title

5. Among the recommendations for incorporating MDM into practice flow, which is not a recommendation? (Required.)

Create a policy defining additional workup. Adding CPT codes to the definition will add clarity.

Define “another healthcare provider.” Create a policy in accordance with the definition, as well as rationale.

Establish a pre-determined MDM level for patients with the same diagnoses.

Determine if carriers require MDM as one of the two factors when leveling services for subsequent visits or established patients.

Question Title

6. What level of risk is associated with the management option of elective major surgery? (Required.)

Minimal

Low

Moderate

High

ACMPE Article Assessment - Medical decision making: What is it, why is it important and what steps are involved?

Question Title

* 1. Centers for Medicare & Medicaid Services (CMS) is moving toward requiring only MDM as the sole leveling factor for outpatient visits. (Required.)

Question Title

* 2. The medical decision making (MDM) section of an encounter contains which of the following: (Required.)

Question Title

* 3. For diagnoses, new problems are defined as a presenting problem without a _____________ diagnosis. (Required.)

Question Title

* 4. Three categories (presenting problem, diagnostic procedure ordered, and management options) reflect the overall complexity of care and patient risk. Scoring for each of these categories is necessary. (Required.)

Question Title

* 5. Among the recommendations for incorporating MDM into practice flow, which is not a recommendation? (Required.)

Question Title

* 6. What level of risk is associated with the management option of elective major surgery? (Required.)

1. Centers for Medicare & Medicaid Services (CMS) is moving toward requiring only MDM as the sole leveling factor for outpatient visits. (Required.)

2. The medical decision making (MDM) section of an encounter contains which of the following: (Required.)

3. For diagnoses, new problems are defined as a presenting problem without a _____________ diagnosis. (Required.)

4. Three categories (presenting problem, diagnostic procedure ordered, and management options) reflect the overall complexity of care and patient risk. Scoring for each of these categories is necessary. (Required.)

5. Among the recommendations for incorporating MDM into practice flow, which is not a recommendation? (Required.)

6. What level of risk is associated with the management option of elective major surgery? (Required.)