A 61-year-old male patient was brought into the emergency department (ED) after having lost consciousness in a grocery store. The ED physician took an expanded problem focused history and performed a detailed exam. The medical decision-making was of moderate complexity. The correct evaluation and management (E/M) code to report for the ED physician is 

A person who has received professional services from the physician or QHP or another physician or QHP of the exact same specialty and subspecialty who belongs to the same group practice, within the past three years.

Counseling, as it relates to the E/M components, is partially defined as a discussion with the patient and/or the patient’s family member(s) or other caregiver(s) concerning diagnostic results, impressions, and/or recommended diagnostic studies.

When did the development and use of Level II of the HCPCS begin?

The act that serves to protect the privacy of individually identifiable health information is? [BLANK-1]

The abbreviation PHI stands for? [BLANK-1]

What is the Health Care Fraud and Abuse Control Program (HCFAC)?

What is the Office of Inspector General (OIG) responsible for?

Fraud and abuse in healthcare is a small issue with little financial or healthcare ramifications.

There are four levels of appeal for Medicare claims processing.