How frequently is the Attributed Patients report updated?
What is Daily?
Where can you find references, release notes, and sources in PCMS?
What is Quick Links?
Are there learning opportunities available for Medicare Risk Adjustment Documentation and Coding Guidance?
What is YES?
What is the name of the Portal you use to access BCBS?
What is Availity?
MRA
What is Medicare Risk Adjustment?
What are the 2 gates that must meet a minimum performance threshold on the Medicare Essentials PCMS Performance Scorecard?
What is Stars Quality measures and Persistent Condition Validation (PCV)?
Which ticker on the home page allows you to see the number of patients in your population?
What is Attribution ticker?
TRUE or FALSE: Attributed patients who have been authorized for an inpatient admission remain on the report from authorized admission to 30 days post discharge?
What is TRUE?
Name one procedure for a gap which is closed without using a CPT II code.
What is Colonoscopy, Osteoporosis, or Mammogram
TRUE or FALSE: There does not have to be documentation in the medical record to support the presence of a condition or indicate providers assessment & plan for mgmt?
What is False?
Prior to a patients visit which report would allow you to see a patient's open care gaps (i.e. overdue for A1C test)?
What is Care Opportunities
or could be seen on an Attribution report
What does PCMS stand for?
What is Provider Care Management Solutions?
Where can you find patients claim activity?
What is P360?
Name 2 methods that can be used to close Colorectal Cancer screening.
What is Colonoscopy, FOBT, Cologuard, or Sigmoidoscopy?
Latent autoimmune diabetes in adults
What is diabetes mellitus Type 1.5?
On the Attribution report which column would identify a Medicare patients persistent chronic condition for validation in the current Measurement Period?
What is Condition-Based Opportunities column.
Name the bar graph chart that is displayed on the PCMS Home Page?
What is Care Opportunity by Condition?
Name 2 type of claims that can be found in P360?
What is Office Visits, emergency department visits, inpatient visits, pharmacy claims, and lab claims?
Name a common diagnosis of a Potentially Avoidable ER visits.
What is UTI, Cellulitis, Hypertension, Pressure Ulcers, or Uncontrolled Diabetes etc.
What is diabetes mellitus Type 1.5?
What is True?
Name 2 of the reports found under the Population tab?
What is Attributed Patients, Inactive Patients, Care Opportunities, ER Visits, Inpatient Admissions, Pharmacy or Cost Opportunities
Is there an advanced filter in PCMS that will allow for identification of members in need of a Medicare Annual Wellness Visit?
What is YES?
DOUBLE JEOPARDY!!!!
Who are the CGMCN Case Managers that will be contacting you regarding Utilization?
Who is LaTisha & Rebekah
What facility does CGMCN prefer for you to refer a patient to who needs Urgent Care?
What is AlphaMed
E08, E09, E10, E11, E13
What are the five diabetes mellitus categories?