Exam (elaborations)
CRC EXAM QUESTIONS WITH ACCURATE ANSWERS.
- Course
- Institution
CRC EXAM QUESTIONS WITH ACCURATE ANSWERS.
[Show more]
Seller
Follow
Content preview
CRC EXAM QUESTIONS WITHACCURATE ANSWERS.
Risk Adjustment Data Element ANS - Age, Gende, Socioeconomic status, Disability status, Insurance
status(Medicaid, dual-eligible,) Claims data elements such as procedure codes, place of service codes,
special patient-specific conditions hospice, ESRD
RAF ANS - Risk Adjustment Factor Scores
Three main types of reviews ANS - Retrospective, Concurrent and prospective
Retrospective ANS - reviews are performed after the information has been reported and in risk
adjustment these are prior years dos
Concurrent reviews ANS - performed ongoing as patients are seen prior to reporting and in risk
adjustment the current year
Prospective reviews ANS - will effect the next year and not the current year where payment is
concerned. They are used to forcast
Types of Risk Adjustment Models(HHS) ANS - HHS hEALTH AND HUMAN SERVICES hIERARCHICAL
CONDITION(Commercial, individual and small grooup
Types of Risk Adjustment Modles(CDPS) ANS - Chronic Illness and Disability payment
systems(Medicaid)
Types of Risk Adjustment Models(HCC-C) ANS - Hierarchical Condition Category, Part C
Types of Risk Adjustment model (DRG) ANS - Diagnosis Related Group (Inpatient)
, Types of Risk Adjustment model (ACG) ANS - Adjusted Clinical Groups(Outpatient)
Prescription based program risk adjustment examples:UCSD ANS - Medicaid Rx(UCSD)
Prescription based program risk adjustment examples(Dxcg) ANS - RxGroups(DxCG)
Prescription based program risk adjustment examples(HCC-D) ANS - Hierarchical Condition Category,
Part D(HCC-D
Trump List ANS - Families or hierarchies set a value base on severity of illness with more severe
diagnoses carrying the overall risk score for that family.
Stage 1 Pressure Ulcer ANS - Persistent focal erythema
stage 2 pressure ulcer ANS - Partial thickness skin loss involving epidermis, dermis, or both
Stage 3 pressure ulcer ANS - Full Thickness skin loss extending through subcutaneous tissue
Stage 4 Pressure ulcer ANS - Necrosis of soft tissue extending to muscle and bone
Unstageable Ulce ANS - is covered in eschar or slough it cannot be determine how deep
Pathologic Fractures ANS - Broken bone that occures in an area of weakened bone. The cause typically
due to another disease such as neoplasm or osteoporosis
Stress Fractures ANS - repeated force or overuse. these fractures are considered non-traumatic
malunion fracture ANS - a healed fracture in a undesirable position resulting in a deformity or crooked
limb.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Professorkaylee. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $9.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
64438 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now