Cms demonstration period - Study guides, Class notes & Summaries
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NP Role Final Exam 159 Questions with Verified Answers,100% CORRECT
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NP Role Final Exam 159 Questions with Verified Answers 
 
 
In which specialty are most nurse practitioners educated? 
Peds 
Primary care 
Family 
Adult gerontology - CORRECT ANSWER primary care 
 
Which factor represents a potential barrier to Nurse Practitioner's practice in a primary care setting? 
Cost effectiveness 
Professional growth 
Aging baby boomers 
Collaboration agreements - CORRECT ANSWER Collaboration agreements 
 
Distinguish among the advanced practice registered nursing (APRN)...
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CDEO Chapter 8 All Possible Questions and Answers with complete solution
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Quality Bonus Payments - TO make quality of care a priority the Affordable Care Act set a 
requirement that CMS make quality bonus payments to Medicare Advantage plans that earn four or 
more stars in a five-star quality rating system would receive a bonus payment. Earning fewer than four 
stars would receive no bonus. 
Suspect Logic - Many organizations utilize a method such as this one to uncover diagnoses which 
are likely present but unreported or unknown 
Chart Reviews - Analysis of the inf...
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CDEO Chapter 8 Questions & Answers (GRADED A+)
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PREDICTIVE MODELING - ANSWER-is an analytical review of known data elements to establish a hypothesis related to the future health needs of patients or a population of patients 
 
Suspect Logic - ANSWER-Many organizations utilize a method such as this one to uncover diagnoses which are likely present but unreported or unknown 
 
Chart Reviews - ANSWER-Analysis of the information identified is used to target retrospective reviews to capture any unreported diagnoses 
 
Suspect Logic Factors - ANSW...
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CDEO Chapter 8 Exam Questions With 100% Correct Answers 2024
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CDEO Chapter 8 Exam Questions With 100% Correct Answers 2024
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CDEO Chapter 8 Questions & Answers (Graded A)
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Suspect Logic - ANSWER-Many organizations utilize a method such as this one to uncover diagnoses which are likely present but unreported or unknown 
 
Chart Reviews - ANSWER-Analysis of the information identified is used to target retrospective reviews to capture any unreported diagnoses 
 
Suspect Logic Factors - ANSWER-* Known/Expected clinical progression of an illness or disease 
* DME needs 
* PDE 
* Laboratory test findings 
* CPT codes reported during the year in review 
* HCPCS codes rep...
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CRCS EXAM | QUESTIONS & ANSWERS (VERIFIED) | LATEST UPDATE | GRADED A+
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1 
CRCS EXAM | QUESTIONS & ANSWERS 
(VERIFIED) | LATEST UPDATE | GRADED 
A+ 
Medicare Part A 
Correct Answer: Covers individuals who are elderly (age 65 or older) and individuals 
with permanent disabilities, end stage renal disease (ESRD) or Lou Gehrig's disease 
Title XVIII 
Correct Answer: Medicare (title) 
Medicare part A 
Correct Answer: Covers inpatient hospitalizations, skilled nursing facility (SNF), home 
health & hospice 
Lifetime reserve days 
Correct Answer: 60 days of inpatient...
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CDEO Chapter 8 exam 2023 with 100% correct answers
- Exam (elaborations) • 13 pages • 2023
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PREDICTIVE MODELING 
is an analytical review of known data elements to establish a hypothesis related to the future health needs of patients or a population of patients 
 
 
 
Suspect Logic 
Many organizations utilize a method such as this one to uncover diagnoses which are likely present but unreported or unknown 
 
 
 
Chart Reviews 
Analysis of the information identified is used to target retrospective reviews to capture any unreported diagnoses 
 
 
 
Suspect Logic Factors 
* Known/Expected ...
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CDEO Chapter 8 Study Guide with Complete Solutions
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CDEO Chapter 8 Study Guide with 
Complete Solutions 
PREDICTIVE MODELING - Answer️️ -is an analytical review of known data elements 
to establish a hypothesis related to the future health needs of patients or a population of 
patients 
Suspect Logic - Answer️️ -Many organizations utilize a method such as this one to 
uncover diagnoses which are likely present but unreported or unknown 
Chart Reviews - Answer️️ -Analysis of the information identified is used to target 
retrospective r...
-
CDEO Chapter 8 exam 2023 with 100% correct answers
- Exam (elaborations) • 13 pages • 2023
-
- $17.49
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PREDICTIVE MODELING 
is an analytical review of known data elements to establish a hypothesis related to the future health needs of patients or a population of patients 
 
 
 
Suspect Logic 
Many organizations utilize a method such as this one to uncover diagnoses which are likely present but unreported or unknown 
 
 
 
Chart Reviews 
Analysis of the information identified is used to target retrospective reviews to capture any unreported diagnoses 
 
 
 
Suspect Logic Factors 
* Known/Expected ...
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CPMA Exam questions and answers well illustrated.
- Exam (elaborations) • 75 pages • 2023
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CPMA Exam questions and answers well illustrated. 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
CMS Fraud Definition - correct answers.Making false statements or misrepresenting facts to obtain an undeserved benefit or payment from a federal healthcare program 
 
CMS Abuse Definition - correct answers.An action that results in unnecessary costs to a federal healthcare program, either directly or indirectly 
 
CMS Examples of Fraud - correct answers.Billing for services and/or supplies that you know were no...
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