Question 1

Using the table above, which of the following HCC(s) should be assigned for documentation stating

the patient has resolving AKI due to ATN, creatinine levels slowly returning to baseline, and CKDstage

3-4?

Options :

A : HCC 326

B : HCC 329

C : HCC 328

D : HCC 327

Answer: D

Question 2

Which of the following acronyms is often used in considering reportability of conditions?

Options :

A : OPPS

B : MEAT

C : MACRA

D : RADV

Answer: B

Question 3

Which of the following is a form of a cardiac condition that may be treated with a beta-blocker?

Options :

A : Third degree heart block

B : Coronary artery disease

C : Sinus bradycardia

D : Cardiomyopathy

Answer: B

Question 4

A provider has been determined to be a high-cost provider after a total claims cost analysis. The

providers patient panel has an overall low HCC average score. Which of the following is the MOST

likely explanation regarding the low HCC average score?

Options :

A : The provider cares for patients of a higher acuity

B : The provider is failing to capture all relevant diagnoses

C : The provider has a less complex patient population

D : The provider is not reporting unspecified diagnoses

Answer: B

Question 5

Which of the following contributes to the risk adjustment score under the CMS-HCC model?

Options :

A : Income status and disability status

B : Health status and previous risk score

C : Enrollment eligibility status and reported conditions

D : Cost of care provided and hospital readmissions

Answer: C

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