Medications/HCC Associations

Easy-Peasy

100

Albuterol (Pro Air) is used for

COPD,Bronchiectasis or Asthma

200

What is the indication for using Lithium?

Bipolar disorder, Mania, Schizoaffective disorder

300

Mention 5 antidiabetic medication

Insulin, Metformin,  Glimepiride, Glipizide, Sitagliptin (Tradjenta), Semaglutide (Ozempic),  Empagliflozin (Jardiance), Dapagliflozin (Farxiga),

400

Mention 1  ACE-inhibitor (-pril) and its indication for

Lisinopril, Ramipril,  Benazepril, Enalapril, Trandolapril, Quinapril, Moexipril, Fosinopril. INDICATION: HTN, CHF, CAD, Diabetic Kidney disease

500

True or False. Plavix  (Clopidogrel) is an anticoagulant medication

False, Plavix is an  antiplatelet medication

HCCs

100

The New HCC for CHF  is

226

200

The New HCC for MO is

48

300

The New HCC for COPD  is

280

400

The New HCCs for T2DM  are?

36/37/38

500

The New HCCs for  Psychiatric disorders (Schizophrenia, Psychosis, Personality disorders,  Bipolar, MDD) are?

151, 152, 153, 154,  155

Brand Names/Generic

100

What is the generic  name for Prozac?  

Fluoxetine

200

Mention 1 Brand name for Nitroglycerin

Nitrostat, Nitrek, Rectiv

300

What is the generic name for Toujeo or Lantus?

Insulin Glargine

400

What is the Generic name for Norco?

Acetaminophen/Hydrocodone

500

What is the generic name for Combivent

Albuterol/ipratropium

Suspecting Logic Updates?

100

Is it acceptable to suspect for AAT if the patient has emphysema or bronchiectasis documented?

Yes, you can suspect if the patient has emphysema. We are only refraining from suspecting if the patient has COPD in the problem list or documented elsewhere, as we have autologic for that

200

Should I create an AAT suspect when also creating a suspect for emphysema?

Yes, if you have imaging findings suggestive of emphysema, you can create an AAT suspect at that moment.

300

 For CKD, should we create a suspect based on just one low GFR value?

No, for CKD, we want to ensure there is at least a second confirmatory GFR value before creating a suspect. Otherwise, the condition will be captured by autologic.

400

What if smoking history is missing from the social history—do I still create a suspect?

Yes, if there is no documented smoking history in the social history, but during chart review, if you notice a significant smoking history, you can create the suspect.

500

Can I create a suspect for a condition with autologic if I have new or additional information?

Yes, if you find additional information that adds value to the suspect, you can create it.