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General Documentation
Vaccines
Vaccines
Vaccines
CCS
100
What date do you document "Mammogram in 2014 was normal"?
12/31/2014
100
How many vaccines have to be given by the 2nd birthday to be combo 3 compliant(hit)?
19
100
What are the two numerators in the IMA measure?
Tdap & Meningococcal
100
What is the difference between Rotarix and RotaTeq vaccines?
Rotarix is a 2 dose schedule RotaTeq is a 3 dose schedule
100
How often should women have cervical cancer screening?
every 3 years
200
How do you document "Member had chickenpox at 18 months old"?
Use the member's birth date and add 18 months. DOB: January 15, 2013 Date of chickenpox: January 15, 2013 + 18 months= July 15, 2014
200
This is handwritten on the vaccine form: John Dillinger, DOB 02/14/2013 Hep B 1: Mercy Hep B 2: 04/02/2013 Hep B 3: 06/02/2013 Is this kiddo compliant for Hep B?
YES
200
What is the age range for the Tdap vaccination?
between the 10th and 13th birthday
200
While reviewing the chart you notice the MRR is missing. What do you do next?
Look for history of Measles, Mumps, or Rubella illness
200
Describe the testing that will allow woman 30 years or older to have cervical cancer screening every 5 years
cervical cytology and HPV co-testing
300
What date do you document "Hep B given at birth"?
Use the members birth date
300
Which numerators require 4 vaccines by the 2nd birthday?
DTaP PCV
300
What is the age range for Meningococcal vaccination ?
Between the 11th and 13th birthday
300
How many HPC vaccines are required between the 9th and 13th birthday?
3
300
You are reviewing a chart for the CCS measure and you come across this in a progress note: TAH What and how do you document your findings:
She is a potential exclusion(only if she in not a hit). Since there is no actual DOS for the hysterectomy, then we would document the hysterectomy as the date of the office note.
400
What date do you document "Hypertension Dx July 2010"?
July, 31,2010
400
You do not see the VZV vaccine on the immunization record. What do you do next?
Look for history of chickenpox
400
How many Tdap & Meningococcal vaccines need to be administered for the member to be compliant(hit)?
One Tdap One Meningococcal
400
You are reviewing a chart for HPV. You locate the vaccine record. Bailey Smith DOB: 12/09/2002 M What do you do next?
You verify the gender of the member with the office staff. If a Male, then exclude. If Female, request they update the document with the correct gender and proceed with the data collection.
400
You are reviewing a CCS chart. You come across this lab document. NOT SATISFACTORY FOR EVALUATION; NO ENDOCERVICAL CELLS PRESENT How do you document these results?
You would not document this. This is not an acceptable specimen
500
Which date do you document for an HA1c? Date Collected: 12/29/2015 Date Processed: 12/30/2015 Date Reported: 01/01/2016
12/29/2015
500
You are reviewing the immunization record and notice there are many vaccines missing. What do you do next?
Look for any reason that may exclude the member including HIV, Immunodeficiency, cancers, leukemia, encephalopathy. Allergies to neomycin, streptomycin, polymyxin B, baker's yeast
500
What are the two reasons a member can be excluded from this measure?
1) member had anaphylactic reaction 2) member expired
500
You are reviewing the chart for the HPV measure. You notice a Dx of HPV in the medical history. What do you do?
Continue to review the chart and look for HPV vaccinations after the infection date.
500
Lab result for a 30 y/o. Collected on 12/15/2012. SOURCE/SPECIMEN: THINPREP PAP WITH IMAGER, CERVICAL/ENDOCERVICAL,HPV REFLEX Pap Test Results:Negative HPV: Low risk so testing not performed How do you document your findings?
You cannot use the cytology/HPV co-testing because the lab did not run the HPV. Since this is a 2012 cytology, it is out of range of the 3 year range for cytology testing alone