More Diagnosis & Treatment
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More screening & Diagnosis
Diagnosis & Treatment
HCC Hierarchies
100
What is the FIB score needed to create an autologic suspect for cirrhosis?
What is FIB score >2.67?
100
If a Quantaflo has a result of <0.6, what condition in V28 can you consider suspecting for?
What is HCC 264 Atherosclerosis of native arteries of extremities with rest pain, bilateral legs I70.223 (PAD with rest pain)?
100
In V28, we can code for active MI if it is within ___ weeks of onset.
What is 4 weeks?
100
What is the BNP threshold for identifying a suspect for Stage B heart failure?
What is ≥35?
100
Place the following conditions in order of their HCC hierarchies, with the highest risk-adjusting condition first: Unspecified cirrhosis of liver (K74.60), Esophageal varices without bleeding (I85.00), and Chronic hepatitis C (B18.2).
What are HCC 63 Esophageal varices without bleeding (I85.00) > HCC 64 Unspecified cirrhosis of liver (K74.60) > HCC 65 Chronic hepatitis C (B18.2)
200
How many DSM-V criteria are required for substance abuse vs Substance dependence?
What are at least 2 DSM V criteria for substance abuse and 4 DSM V criteria for substance dependence?
200
If a patient has history of a stroke and ambulates with a cane or walker, what is one condition you can consider suspecting?
What is hemiparesis due to old stroke (I60.359)?
200
In V28, we can suspect CAD with unstable angina. Something to look for in this condition is that chest pain occurs with progressively less exertion or even at rest. It is typical if any part of a coronary artery is ≥___% occluded.
200
National and OSH COPD guidelines state all patients with COPD, emphysema, chronic bronchitis, bronchiectasis and Cirrhosis should be tested for ____________
What is AAT deficiency (E88.01)?
200
Place the following conditions in order of their HCC hierarchies, with the highest risk-adjusting condition first: Nonischemic cardiomyopathy (I42.8), End Stage heart failure (I50.84), and Stage B ACC/AHA asymptomatic heart failure (I50.9).
What are HCC 222 (End Stage heart failure, I50.84) > HCC 226 (Stage B ACC/AHA asymptomatic heart failure, I50.9) > HCC 227 (Nonischemic cardiomyopathy, I42.8)?
300
FEV1 <___% predicted is consistent with severe persistent asthma.
300
Pictured here, these symptoms are associated with this condition
What is Cirrhosis?
300
True or False: MDD can exist on the same problem list as bipolar disorder, schizophrenia, or schizoaffective disorder
What is False?
MDD cannot exist on the same problem list as bipolar disorder, schizophrenia, or schizoaffective disorder
300
Abdominal imaging notes, “The pancreas is atrophic.” What condition should we consider suspecting?
What is Chronic Pancreatitis (K86.1)?
300
Which condition risk adjusts more: Secondary malignant neoplasm of the prostate (C79.82) or Primary malignant neoplasm of the prostate (C61)?
What is HCC 18 Secondary malignant neoplasm of the prostate (C79.82) > HCC 23 Primary malignant neoplasm of the prostate (C61)?
400
True or False: Non-Hodgkin's lymphoma in remission risk-adjusts.
False. It used to in V24 but not in V28, now it is only leukemia in remission or multiple myeloma in remission that risk adjust as far as cancers in remission that risk-adjust
400
What are the four DSM-5 Categories of SUD Symptoms?
What are Impaired control, social problems, risky use, and physical dependence?
400
True or False: In Canopy, based on information from external records indicating current antidepressant medication use and/or an MDD diagnosis in the last 12 months (with no prior OSH diagnosis), CDSs will not continue to suspect for MDD mild only.
What is “False”?
Only moderate and severe MDD are in v28 however CDSs will continue to suspect for MDD mild only.
400
A patient has Diabetes Mellitus uncomplicated documented and they also have Aortic Atherosclerosis noted per imaging. What condition can be suspected for in V28?
What is Type 2 diabetes mellitus with peripheral angiopathy (E11.51)?
400
Which condition risk adjusts more: Type 2 Diabetes Mellitus without complications (E11.9) or Type 2 Diabetes Mellitus with hyperglycemia (E11.65)?
What is neither, as both E11.9 (Type 2 Diabetes Mellitus without complications) and E11.65 (Type 2 Diabetes Mellitus with hyperglycemia) now risk adjust in HCC bucket 38?
500
If a patient has Breast cancer s/p mastectomy and on tamoxifen, would you document that patient as having active breast cancer or history of breast cancer?
What is active breast cancer?
500
Place the following conditions in order of their HCC hierarchies with the highest risk-adjusting condition first: Schizophrenia, Borderline Personality Disorder, MDD Moderate recurrent, Bipolar disorder, Delusional disorder
What is HCC 151 Schizophrenia (F20.9) > HCC 152 Delusional disorder (F22) > HCC 153 Borderline Personality Disorder (F60.3) > HCC 154 Bipolar disorder (F31.9) > 155 MDD Moderate recurrent (F33.1)
500
What are the PHQ-9 ranges for MDD moderate recurrent and MDD severe recurrent?
What are PHQ-9 of 10-19 (Moderate) and PHQ-9 of 20-27 (Severe)?
500
Can you list all of the criteria for diagnosing metabolic syndrome in a patient with diabetes?
What are:
• BMI > 40 (or Abdominal obesity)
• TG ≥150 mg/dL or treatment for elevated triglycerides
• HDL <40 mg/dL in males or <50 mg/dL in females or treatment for low HDL
• Blood pressure ≥130/85 mmHg or treatment for hypertension
• Fasting plasma glucose ≥100 mg/dL or treatment for elevated glucose?
(3+ of the following criteria needed to diagnose)
Will also accept care report logic:
500
Place the following conditions in order of their HCC hierarchies, with the highest risk-adjusting condition first: Alcohol dependence uncomplicated (F10.20), Cocaine abuse (F14.10), and Alcohol abuse with withdrawal delirium (F10.131).
What are 136 Alcohol abuse with withdrawal delirium F10.131 > 138 Cocaine abuse (F14.10) > 139 Alcohol dependence uncomplicated (F10.20)
Important to note Cocaine abuse now risk-adjusts more than alcohol dependence uncomplicated***