Hcc coding - Study guides, Class notes & Summaries

HCC Coding-Risk Adjustment Test Questions with Answers What two models are used to calculate a RAF score properly? What do these models allow to happen to the final risk score? - Answer-Additive and Hierarchical. Allows for more than one disease to impact the final risk score. What is diagnostic hierarchies? - Answer-Prevents multiple diagnoses in the same disease group from skewing the risk score with a higher score. The more severe diagnoses "trumps" the lower diagnoses within the s...

HCC Coding Risk Adjustment Test With Complete Solution...

HCC Coding Exam Questions with Correct Answers What must be clearly listed on each page of a chart? - Answer--Patient name -2nd Patient Identifier (SSN, DOB, etc.) -Date of Service -CMS accepted signature and credential at the end of the note True or False: Every date of service stands alone. - Answer-True. If a diagnosis is noted on a January visit and a February visit, but not on a July visit, can the diagnosis still be coded on the July visit? - Answer-No. What constitutes an ac...

HCC Coding Exam Questions with Complete Solutions When a provider writes her own diagnosis codes in the medical record, the coder can use those codes? - Answer-False. Before you start coding from a chart, what must you always check? - Answer-The year. What must be clearly listed on each page of a chart? - Answer--Patient name -2nd Patient Identifier (SSN, DOB, etc.) -Date of Service -CMS accepted signature and credential at the end of the note True or False: Every date of service s...

HCC-RxHCC Coding Updates & Documentation Standards Questions and Answers Diagnosis Limit - Answer-Maximum of 12 diagnoses per encounter Best Judgement - Answer-Using discretion to select additional diagnoses Toxic Metabolic Encephalopathy - Answer-Brain dysfunction due to toxic substances Septic Shock - Answer-Life-threatening organ dysfunction from infection Bilateral Pleural Effusions - Answer-Fluid buildup in the lungs on both sides Moderate Mitral Stenosis - Answer-Narrowi...

HCC Coding Risk Adjustment with complete solutions

HCC Coding/Risk Adjustment _ Q’s & A’s

What does the acronym MEAT stand for? 2 When a provider writes her own diagnosis codes in the medical record, the coder can use those codes? As a coder, are you allowed to link diagnoses to medications by yourself?

CRC Practice Exam B Questions With 100% Correct Answers How many charts can be submitted to CMS to validate an HCC? A. One B. Three C. Two D. Five - answerD RADV to permits 5 medical records to be submitted for each HCC to be validated. The results of a RADV audit are extrapolated across all members of the plan that was audited. What does this mean? A. Financial penalties will be limited to each specific member B. Financial penalties will be averaged over the plan membership C. Finan...

CRC Practice Exam B Questions With 100% Correct Answers How many charts can be submitted to CMS to validate an HCC? A. One B. Three C. Two D. Five - answerD RADV to permits 5 medical records to be submitted for each HCC to be validated. The results of a RADV audit are extrapolated across all members of the plan that was audited. What does this mean? A. Financial penalties will be limited to each specific member B. Financial penalties will be averaged over the plan membership C. Finan...