Prepare to pass the CEMC with focused E/M coding practice

Answer:

Place of service 10 identifies telehealth provided to a patient in their home, and place of service 02 identifies telehealth when the patient is somewhere other than home. A is the office. B is telehealth outside the home. C is an on-campus outpatient hospital. Payment rules by place of service change often.

Source: CMS Place of Service Code Set; CMS Physician Fee Schedule final rule

Answer:

Medicare requires that services provided or ordered be authenticated by the author, by handwritten or electronic signature, and missing signatures may be addressed through an attestation in some cases. A ignores the requirement. C and D cannot authenticate clinical services.

Source: CMS Medicare Program Integrity Manual, Chapter 3, Section 3.3.2.4

Answer:

HCPCS code G2211 is an add-on that recognizes the complexity of visits that are part of a continuing relationship with the patient for a serious or complex condition, or for ongoing primary care. It applies to office visits and, beginning in 2026, home or residence visits. B, C, and D describe other services. Medicare limits when the add-on may be billed.

Source: CMS Physician Fee Schedule final rules (CY2024 and later, incl. CY2026 PFS final rule); CMS MLN G2211 guidance