Which of the following phrases BEST describes when time may be the controlling factor when determining a particular level of E/M service?
A. When extenuating circumstances, such as involvement of belligerent or hyper-involved family members or non-family care providers, preclude direct face to face interaction between the physician and the patient, time may be the controlling factor when determining a particular level of E/M service
B. When circumstances require the involvement of more than one physician during the course of the E/M service visit, time may be the controlling factor when determining a particular level of E/M service
C. When circumstances, such as the physiologic state or advanced pathology of the patient, prevent the physician from thoroughly documenting the history in detail, time may be the controlling factor when determining a particular level of E/M service
D. When circumstances require more than 50 percent of the E/M service visit to be spent in coordination of care and/or counseling, time may be the controlling factor when determining a particular level of E/M service
Question 2
Which of the following is required to document unit/floor intraservice time?
A. Documentation of the time spent by the physician in review of patient records while in transit to the patient's unit, floor, or bedside
B. Documentation of the physician's presence on the patient's hospital unit or floor and at the patient's bedside
C. Documentation of the physician's independent review of diagnostic results in the presence of the physician, radiologist or pathologist who performed the diagnostic testing
D. Documentation of the policy of the facility in which the physician has performed the E/M service