Other
Encounter for general adult medical examination with abnormal findings.
What is Z00.01?
MRA
What is Medicare Risk Adjustment?
Latent autoimmune diabetes in adults
What is diabetes mellitus Type 1.5?
E08
What is diabetes mellitus due to underlying condition?
AWV
What is Annual Wellness Visit?
Review patient quality measures
What is Wellness Planning?
Used to adjust capitated payments for beneficiaries enrolled in Medicare Advantage programs
What is RAF Score?
TRUE or FALSE: An A1C of 9.5 is considered "within normal range" when reporting for diabetic patients
What is False?
Z79.4
What is long term use of insulin?
G0439
What is subsequent visit of AWV?
Humana employees who can meet with practices and help them understand documenation requirements of AWV outlines by Medicare
Who are MRA Educators?
HCC
What is Hierarchical Condition Category?
Polydipsia, Polyphagia, Fatigue, Irritability
What are signs and symptoms for diabetes?
R73.03
What is Prediabetes or borderline diabetes?
COA
What is care for older adults?
Subjective, Objective, Assessment, Plan
What is SOAP note?
TRUE or FALSE: Every patient within one practice gets allotted the same payment rate no matter their conditions.
What is False?
**CMS wants to reimburse based on actual cost of care for each individual beneficiary.
TRUE or FALSE: The patients last A1C of the year, will ultimately be what is reported on by the payer.
What is True?
E11.22, N18.9
What is type 2 diabetes mellitus with diabetic chronic kidney disease?
G0438
What is initial visit of AWV?
Legible, Clear, Concise, Consistent, Complete
What is best documentation practices?
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?
Medical history and physical exam, Urinalysis, Blood test
What are diagnostic tools used to diagnose diabetes mellitus?
E08, E09, E10, E11, E13
What are the five diabetes mellitus categories?
Annual health status review, wellness planning, counseling visit
What are the components of the Annual Wellness Visit?