AI for E/M Level Coding Quiz

Answers and explanations appear as you take the quiz.

1. Under the 2021 office visit rules, what determines the E/M level?
   • The number of body systems examined
   • The length of the history section
   • Medical decision making or total time on the date of the visit
   • The patient's insurance type
2. How many of the three MDM elements must meet or exceed a level for that MDM level to apply?
   • All three
   • Two of three
   • One of three
   • It depends on the payer
3. An AI suggests 99215 because six diagnoses appear in the assessment, but only two were evaluated or treated. What error did it make?
   • It counted listed problems as if they were addressed
   • It used the wrong year's code set
   • It applied time rules instead of MDM
   • It ignored the patient's age
4. For the hypertension follow-up where the physician raised the lisinopril dose, what supports moderate risk?
   • The length of the ambient note
   • The patient's age
   • The number of vital signs recorded
   • Prescription drug management
5. Why is a longer ambient-scribe note not evidence of a higher E/M level?
   • Payers ignore notes longer than two pages
   • Level depends on MDM or time, not on how much text is in the note
   • Ambient notes are not legal medical records
   • Long notes automatically trigger downcoding
6. A physician orders a lab test at the visit and reviews the result later. How does the data element credit it?
   • The order includes the later review, so the review is not counted separately
   • It counts as two unique tests
   • It counts only if the patient pays for the test
   • It cannot be counted at all
7. When a practice bills a visit on time, what should the AI flag in the time statement?
   • Any visit shorter than 60 minutes
   • Time spent on another date for another patient's chart only
   • Time counted from nurses or medical assistants rather than the billing clinician
   • Any mention of documentation time
8. Why does the guide recommend separating fact extraction from the rule that assigns the level?
   • It avoids the need for any human review
   • It lets auditors see which element drove the level, and keeps the MDM table logic consistent
   • It makes the model run on a phone
   • It is required by HIPAA