Indicators
Benign bruising that affects older adults
What is Senile purpura
In the coding world, "history of" means this
What is cured or resolved?
TRUE or FALSE -every single code carries a risk factor value
What is the FALSE?
N18.31
HCC 138-Chronic Kidney Disease Stage 3a
Right Sided paralysis
Hemiplegia
Coding system used to classify diseases.
What is ICD-10?
hierarchical condition category
What is an HCC?
D84.9
HCC 47 Immunodeficiency, unspecified
Smoking history of 20+ years when packs are not defined.
What is COPD
TRUE or FALSE- Provider signature stamps are acceptable
What is FALSE?
TRUE or FALSE -members with multiple conditions will cost more to manage that a member with fewer medical problems?
What is true?
I27.20
HCC-85 Pulmonary Hypertension
Methotrexate, Prednisone, and Hydroxychloroquine longer than six months
Immunodeficiency due to drugs
TRUE or FALSE-Conditions that have been erroneously coded on a claim, and the claim can not be resubmitted should be marked for flag for removal
What is TRUE?
This word must be documented with the diagnosis of Hepatitis C or bronchitis to risk adjust
What is chronic?
B20
HIV/AIDS
The brain disorder marked by gradual and progressive mental deterioration, personality changes, and impairment of daily function
Alzheimer Disease
An audit performed by CMS where medical record documentation is submitted in support for HCCs, for which we have received reimbursement.
What is Risk Adjustment Data Validation (RADV)?
specific documentation that includes enough detail to assign an accurate code
What is coding specificity?
G10
HCC 78- Huntington's disease