Coding Corner Question: January

Rheumatology Audit Quize IV to counteract the adverse reaction. The infusion is discontinued and the patient is monitored for 30 minutes. The patient is scheduled for a follow-up visit in a week.

1. What is a determining factor for determining the level of risk in the medical decision making for a patient with rheumatoid arthritis?
   1. Prescription drug management
   2. Drug therapy requiring intensive monitoring for toxicity
   3. One or more chronic illness with severe exacerbation, progression, or side effects to treatment
   4. All of the above
2. •How many vital signs must be documented in the patient chart to get credit for examining the constitutional system during an examination?
   1. One
   2. Two
   3. Three
   4. Does not matter
3. •Is this a level-five established patient visit: comprehensive history level, comprehensive exam level, and straightforward medical decision making?
   1. Yes
   2. No
4. •There are two versions of documentation guidelines, 1995 and 1997. What is the difference between the two guidelines?
   1. History
   2. Examination
   3. Medical decision making
   4. Both A and B
5. You should choose either the 1995 or 1997 guidelines depending on the payer’s recommendation.
   1. True
   2. False

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