Author Question: A physician supervises the care of a 79-year-old woman who is receiving several different therapies ... (Read 70 times)

burchfield96 · **on:** Jun 27, 2018

A physician supervises the care of a 79-year-old woman who is receiving several different therapies at home. The patient is recovering from a fall from a kitchen stool, resulting in a broken ulna and sprained wrist.
The physician coordinates the involvement and participation of a private physical therapist and the patient's adult daughter, the patient's power of attorney, and the private home aide who provides assistance with the patient's ADLs. According to the patient's daughter, the patient will not leave her home but received adequate care from the home aide, with positive results from the physical therapy. Over the course of 1 calendar month, the physician spends 35 minutes in supervision of documented physical therapy records, laboratory results, and telephone conference with the patient's adult daughter and home aide. Which of the following best reflects the service(s) provided?

a. Nonface-to-face physician services
b. Care plan oversight services
c. Case management services
d. Domiciliary, rest home (e.g., assisted living facility), or home care plan oversight services

Question 2

A pediatrician returns a call placed by the mother of his 11-month-old established patient. Pediatrician informs the mother that her child's blood culture was positive for the pertussis antibody.

The blood test was drawn 10 days ago during an office visit at the pediatrician's office. The physician prescribes antibiotics for the child and recommends the mother get screened for the pertussis antibody as well. The physician spends 15 minutes on the call, providing counseling for the mother regarding the antibiotic course, home care for the patient, and education about pertussis. Which of the following best reflects the service(s) provided? a. Care plan oversight services
b. Nonface-to-face physician services
c. Case management services
d. Service that cannot be reported

laurnthompson · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

d) Domiciliary, rest home (e.g., assisted living facility), or home care plan oversight services (because the patient lives in her own private home, and the physician is individually supervising the care provided to the patient, and the patient is not under care of a home health agency, but receiving care from private therapists, the domiciliary, rest home (e.g., assisted living facility) or home care plan oversight services is the most appropriate service.)

Answer to Question 2

b) nonface-to-face physician services (this service can be reported because the physician has not provided care for the patient within seven days prior to the nonface-to-face telephone service.)