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100

What do you do when you see a duplicate diagnosis? Select the correct answer (1 or 2):1. Write void or duplicate diagnosis in the plan section. 2. Omit selecting that diagnosis in the drop-down problem list.

Answer is number 2

100

An initial diagnosis of depression can be diagnosed during an IHA if there is no history of depression and no medication listed if the PHQ-9 is abnormal.

False

100

If someone is on a diuretic and has HTN, can you automatically diagnose hypertensive heart failure?

No, you cannot jump to the conclusion that they would have hypertensive HF b/c some patients take Lasix for isolated lower extremity edema. 

100
For the soccer player fans watching the Copa America cup right now, what country is Messi from and what MLS team does he play on?

Lionel Messi is playing for Argentina in Copa America and he normally plays for inter Miami CF. 

100

True or false: do you have to document a confirmation call in Salesforce?

Document confirmation calls made in salesforce under β€œnotes to provider.”

200

True or False: Monofilament testing is only required for diabetic patients.  

False. Monofilament exams are required on every visit. 

200

A patient is taking an anticoagulant and has Atrial Fibrillation, you want to code for...?

Secondary hypercoagulable state 

200

Can dementia be diagnosed on an IHA visit? 

Dementia cannot be diagnosed during an in-home visit alone. If cognitive impairment is suspected after performing the cognitive tests, it should be coded as cognitive impairment with level of severity specified and recommendations for follow-up.

200

Patient is on warfarin for a DVT. Would you also put secondary hypercoagulable state as a diagnosis?

NO. The patient must have an afib diagnosis in order to put secondary hypercoagulable state. 

200

Where will the summer 2024 Olympic surfing competitions be held?

Tahiti 

300

True or false: HCCs are sets of medical codes that are linked to clinical diagnoses with risk scores that are then translated into payments for the health plan.

True. Therefore, diagnosis accuracy is very important and making sure we are not just capturing plain vanilla diagnosis if you can associate /group diagnosis codes for active and chronic conditions.

300

Can you link complications to a prediabetes diagnosis? For example, pre-diabetes with complications.

No

300

65 yo female with history of diabetes type 2 and hypertension is taking metformin and lisinopril. Vitals stable, 02 sats 94% on 2L 02. Patient's BMI is 35.9. What are some other diagnoses to consider that have not already been listed?

Morbid obesity and chronic respiratory failure on home 02 therapy 

300

Guess the estimated amount of money in revenue the French economy will gain from the summer Olympics?

About $7.1 billion to $11.8 billion, a study by the Center for Law and Economics of Sport found  

300

Patients that take daily opioids, benzodiazepines, or hypnotics should have a pain, anxiety, or insomnia diagnosis AND what other diagnosis? 

Opioid dependence, uncomplicated 

OR

Sedative, hypnotic or anxiolytic dependence, uncomplicated

400

A patient has a BMI of 35 or greater plus one or more comorbid conditions (Hypertension, Hyperlipidemia, Diabetes, etc), what diagnosis would you want to code?

Morbid obesity. 

400

A patient took metformin 10 years ago but now he is fine and says he is just a prediabetic. Do you code for diabetes or prediabetes?

Diabetes, once diagnosed, does not revert to pre-diabetes; damage to the beta cells is irreversible. If the patient once was on metformin but is no longer taking it, it should be coded as diabetes that is diet-controlled, not pre-diabetes.

400

Summer related question: where was the hottest temperature ever recorded on earth?

The highest recorded air temperature on Earth was 134.1 degrees Fahrenheit in Death Valley, CA. 

Other notable high temps include Mexico's hottest day in hx of 125 degrees 

400

What timeframe should queries be responded to?

48 hours

400

What country is hosting the 2024 Euro Cup?

Germany

500

78 yo female is on 2L of supplemental 02 continuously

What is chronic respiratory failure with hypoxia on home oxygen?

500

True or False: CVA is an acute condition and not a diagnosis

TRUE 

Please document history of CVA with residual deficit for HCC

500

True or false: You have to link every medication listed on the med list to a diagnosis in the assessment problem planning section of an IHA visit? 

True! Please do not put continue medication ;)

500

What do you do when you get a pop-up error when you're trying to finalize a chart?

Try finalizing again! Then restart your computer, and attempt again. If that doesn't work, check your connection, notify your CSM, and try another time. 

500

How often should you be checking and reading your Emcara email?

At least once a day. Please download the microsoft outlook app on your phone if you can to receive emails in real time.