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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?
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?
A female patient presents for her yearly wellness check-up. Her vital signs are within normal limits
with the exception of dyspnea. Her weight is 165 lbs, up 10 lbs from her previous clinic visit 2 weeks
prior. Problem list includes diagnoses of obesity, COPD, heart failure, and diabetes without
complications. The patients A1c noted 9.2 up from 7.2 from previous year wellness exam. Based on
the clinical indicators, which of the following medications should be evaluated and addressed during
this clinic visit?
Which of the following physician performance metrics BEST illustrates provider engagement with
outpatient CDI specialist?
Which of the following acronyms is often used in considering reportability of conditions?
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