Hcc coding - Study guides, Class notes & Summaries

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...

Many coding professionals go on to find work as: - correct answer Consultant A medical record contains information on all but what areas? - correct answer Financial records Technicians who specialize in coding are called: - correct answer Coding specialists EHR stands for: - correct answer Electronic health record What type of provider goes through approximately 26.5 months of education and is licensed to practice medicine with the oversight of a physician? - correct answer ...

Risk Adjustment (a prospective payment system) - correct answer The process of increasing or reducing payments to health plans to reflect higher or lower than expected spending. Risk adjusting is designed to compensate health plans that enroll an older and sicker population as a way to discourage plans from selecting only healthier enrollees. What is the goal when coding for risk adjustment? - correct answer code ALL current dx What is the purpose of collecting dx in risk adjustment coding...

Many coding professionals go on to find work as: CORRECT ANSWER-Consultant A medical record contains information on all but what areas? CORRECT ANSWER-Financial records Technicians who specialize in coding are called: CORRECT ANSWER-Coding specialists EHR stands for: CORRECT ANSWER-Electronic health record What type of provider goes through approximately 26.5 months of education and is licensed to practice medicine with the oversight of a physician? CORRECT ANSWER-Physician Assistant...

Which statement describes a medically necessary service? - correct answer a. Performing a procedure/service based on cost to eliminate wasteful services. *b. Using the least radical service/procedure that allows for effective treatment of the patient's complaint or condition.* c. Using the closest facility to perform a service or procedure. d. Using the appropriate course of treatment to fit within the patient's lifestyle. Which code...

2023 AAPC CPC FINAL EXAM REAL EXAM 3 LATEST VERSIONS EACH VERSION CONTAINS 100 QUESTIONS AND CORRECT ANSWERS(VERIFIED ANSWERS)|AGRADE AAPC Final What does CMS-HCC stand for? Select one: a. Centers for Medicare & Medicaid Services – Hospital Correct Coding Initiative b. County Mandated Services – Heightened Control Center c. Country Mandated Services – Hospital Correct Coding Initiative d. Centers for Medicare & Medicaid Services – Hierarchal Condition Catego...

CDIP Toolkit (Clinical Documentation Improvement Toolkit AHIMA) with Complete Solutions CDIP Toolkit (Clinical Documentation Improvement Toolkit AHIMA) with Complete Solutions CDIP Toolkit (Clinical Documentation Improvement Toolkit AHIMA) with Complete Solutions recent drivers of CDI (p2) - ANSWER-- MS-DRGs 2007 to reflect SOI/ROM - POA indicators 2008 - Medicare Advantage/Part C (capitated, HCC) - some payers moving to APR DRGs - compliance reviews: RAC, Zone Program Integri...

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Many coding professionals go on to find work as: - Consultant A medical record contains information on all but what areas? - Financial records Technicians who specialize in coding are called: - Coding specialists EHR stands for: - Electronic health record What type of provider goes through approximately 26.5 months of education and is licensed to practice medicine with the oversight of a physician? - Physician Assistant (PA) The Medicare program is made up of several parts. Which part is m...

Many coding professionals go on to find work as: - Consultant A medical record contains information on all but what areas? - Financial records Technicians who specialize in coding are called: - Coding specialists EHR stands for: - Electronic health record What type of provider goes through approximately 26.5 months of education and is licensed to practice medicine with the oversight of a physician? - Physician Assistant (PA) The Medicare program is made up of several parts. Which part is m...