which medicare part is reimbursed based on the risk adjustment models
part c
who typically employs risk adjustment coders
health plans
is a health plan required to follow the minimum necessary rule
yes, health plans are covered entities and are therefore required to follow the mini...
AAPC CRC study guide with 100% correct answers
which medicare part is reimbursed based on the risk adjustment models - correct answer part c
who typically employs risk adjustment coders - correct answer health plans
is a health plan required to follow the minimum necessary rule - correct answer yes, health plans are covered entities and are therefore required to follow the minimum necessary rule
what is an example of fraud - correct answer reporting a diagnosis or co-morbidity that does not
exist to obtain higher reimbursement
which part of medicare is also called medicare advantage - correct answer part c
which health insurance assistance program is sponsored by federal and state governments - correct answer medicaid
what OIG document should a medicare advantage participant review for potential problem areas that will receive special scrutiny in the upcoming year - correct answer OIG work plan
which code set is used by risk adjustment coders - correct answer icd-10-cm
which regulation strengthens HIPAA rules by addressing privacy and security concerns associated with the electronic transmission of health information - correct answer Health Information Technology for Economic and Clinical Health Act (HITECH)
what is coding - correct answer translating a written or dictated medical record into a series of alphanumeric codes which organ is in the thoracic cavity - correct answer lungs
what does the term distal indicate - correct answer farther from the point of attachment
blood is received back into the left atrium of the heart through.... - correct answer pulmonary veins
the root of the nail is also known as what - correct answer germinal matrix
the documentation states: Past Surgical history: she had a lumpectomy of the breast for DCIS 12
years ago which successfully eradicated the CA
how would this be reported - correct answer personal history of breast cancer
the documentation states: soft druse, some calcified
what system would have this documentation - correct answer ocular
which organ does pulmonary refer to - correct answer lungs
what is a PEG tube - correct answer a tube inserted into the stomach for long term feeding
angina pectoris refers to which system - correct answer cardiovascular
what is cholelithiasis - correct answer stones in the gallbladder a patient with diabetes type 2 presents with ED. after examination, the provider diagnosis the patient with ED due to diabetic autonomic neuropathy. - correct answer e11.43, n52.1
a patient is transported from the nursing home for facial drooping, slurred speech, and dizziness. the patient was admitted for testing. after an MRI, the provider diagnosed the patient with a TIA - correct answer g45.9
the physician was called to the hospital floor for the medical management of a patient admitted
one day ago with a reduced oxygen level due to aspiration pneumonia and COPD. no chest pain at present, but still SOB and some swelling in his lower extremities. patient was tachypneic yesterday; lungs reveal course crackles in both bases, right worse than left. the physician writes instructions to continue with intravenous antibiotic treatment and respiratory support with ventilator management. he reviewed the chest X-ray which shows gastric contents in the lungs and labs. patient is improving and a pulmonary consultation has been requested - correct answer j69.0, t17.810a, j44.9
a patient with chronic DVT in the lower leg requires heparin to maintain therapeutic anticoagulation levels. he has regular PTTs drawn to monitor his level of anticoagulation - correct answer i82.5z1, z79.01
ch. 3, question 5
diagnosis with severe exacerbation of chi, poorly controlled hon, and worsening ckd and acute renal failure - correct answer i13.0, i50.9, n17.9, n18.9
a patient suffering an abdominal aortic aneurysm involving the renal undergoes endovascular repair deploying a fenestrated visceral autograft using 2 visceral artery endoprostheses - correct
answer i71.4, i72.2
a patient with cod, stage 5 is evaluated by the provider and receives peritoneal dialysis. the provider evaluates the patient once before dialysis begins - correct answer n18.6, z99.2
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