Everyone should complete the following worksheet.
Category Examples:
1.
An ER doc calls you to evaluate a patient with epistaxis that he can’t manage. You have never seen this patient.
992_______X
2.
An ER doc calls you to evaluate a patient with epistaxis that he can’t manage. You saw this patient in your office last year for tonsillitis.
992_______X
3.
An ER doc calls you to evaluate a patient with epistaxis that he has been too busy to evaluate.
992_______X
4.
A patient from your practice calls to tell you he has epistaxis and you ask him to meet you in the ER.
992_______X
5.
A pediatrician sends a child with chronic tonsillitis for evaluation in the office. You have never seen this patient before.
992_______X
6.
A pediatrician sends a child with chronic tonsillitis for evaluation in the office. You saw this patient two years ago for otitis media.
992_______X
7.
You perform a thyroidectomy on a patient. Three weeks later you go away to a meeting. The patient develops a wound infection and is seen by your partner in the office.
992_______X
8.
A patient finds your name in the yellow pages and presents for treatment of cerumen impaction.
992_______X
9.
An orthopedic surgeon asks you to see an inpatient, who is 3 days s/p total hip replacement, for dizziness.
992_______X
10.
You round on your total laryngectomy patient every day while they are in the hospital.
99____ ____ ____
11.
You see the same patient for a post-op visit in the office.
99____ ____ ____