During an E/M service visit, Dr. Smith requests old medical records to review the patient's previous health history, complaints, diagnoses, and treatments. Which of the following best reflects the amount and/or complexity of data?
a. The ordering, planning, or scheduling of any diagnostic service intended to assist in diagnosing the patient's presenting problem
b. Requesting or obtaining the patient's old medical records
c. Discussion of the results of a diagnostic test with the physician who performed that specific diagnostic test
d. Collection of additional history from patient's family, caretaker or other source
Question 2
During an E/M service visit, Dr. Jude reviews a radiology report that had been recorded 2 days previously, and then calls Dr.
George, the radiologist who performed the radiology test and dictated the radiology report, to discuss the radiology results. Which of the following best reflects the amount and/or complexity of the data? a. Ordering diagnostic testing
b. Review of diagnostic testing results
c. Independent visualization of image, scan, film
d. Discussion of diagnostic testing results with physician who performed the test
A nurse communicates with her non–English-speaking patient through an interpreter
Organization of traditional source records
Headsets are ergonomically correct and allow the medical assistant or receptionist to use both hands
Scheduling patient appointments by telephone.
Fax machines are used in many medical offices, although newer technologies including scanners and ...
Review of Systems ROS