Question 1

Which of the following physician performance metrics BEST illustrates provider engagement with

outpatient CDI specialist?

Options :

A : Query response rates and problem list updates

B : Problem list updates and RAF capture rates

C : Physician MIPS scores and query response rates

D : Physician RAF scores and RAF capture rates

Answer: A

Question 2

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 3

Which diagnosis and treatment plan may generate a query?

Options :

A : Prostate carcinoma and luteinizing hormone-releasing hormone

B : Atrial fibrillation and amiodarone

C : Malnutrition and parenteral nutrition

D : Severe major depressive disorder and immunotherapy

Answer: D

Question 4

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

Question 5

Documentation from which of the following facility settings contributes to the CMS-HCC risk score?

Options :

A : Freestanding ambulatory surgical center

B : Hospital ambulatory clinic

C : Hospice care

D : Renal dialysis center

Answer: B

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