Risk Adjustment
What type of plan is Medicare Part C?
Medicare Advantage Plan
What does DSP stands for?
Diagnosis, Status, Plan of Care
How many diabetic complication can be documented and reported on the same DOS?
As many as needed, as long as they are clinically supported in the note
What does OIG stands for?
Office of Inspector General
What does HCC stands for in Risk Adjustment?
Hierarchical Condition Category
In which part of the note can the HPI be documented?
Anywhere in the note
What ICD10 code should you assign for BMI 35-39.9 with comorbid conditions?
1. E66.01 - Morbid (severe) obesity due to excess calories
True or False
When you receive a coding query, it is appropriate to unlock your note and change or add missing information.
False
You need to create an addendum to the note.
True or False?
Risk adjustment predicts a patient's future health costs based on their demographics and health status.
True
Yes or No?
If patient's CKD improved from stage 3a to stage 2 should you still document and report CKD stage 2?
Yes
Yes or No?
Is it appropriate to add VIM Dx for CHF - I50.- if patient has Diastolic Dysfunction without symptoms?
No
What can be a consequence when an audit determines there is not enough documentation to support a condition submitted for risk adjustment?
Recoupment of overpayments
How often do we need to report chronic, active risk-adjustable diagnoses to CMS to reflect the patient's true health status?
At least once per calendar year
Yes or No?
When Diabetes is documented as stable, will this support reporting the condition of diabetes with hyperglycemia?
No
Active cancer or personal history of cancer?
Patient was diagnosed with right breast cancer 2 years ago, underwent total mastectomy and completed radiation and chemotherapy following surgery. Currently on adjuvant therapy.
Active cancer
What is a required element when documenting for a telehealth visit?
To specify if it is an audio only or audio and video visit