General resources
Where can you locate COA practice charts
In the teams channel files. (COA folder)
How many numerators does the COA measure have?
3
Who can complete a medication reconciliation?
RN, prescribing practitioner, or clinical pharmacist
True or false: If found exclusions must be reported?
True
When abstracting what are the first two things you should verify in the chart?
Where can you locate the official measure training material?
Education and Training Resource center
True or False: Chest pain is acceptable to report for a pain assessment?
False, chest pain alone is not acceptable
Who can complete a compliant PE visit?
Anyone, There are no provider restrictions for Patient engagement
What exclusions apply to both COA and TRC
Members who die within the MY and Hospice
True or False: If a member is administratively compliant you should still abstract the data for that numerator?
False, only abstract data for numerators that are NOT admin compliant
Which measure has 4 numerators to make a member fully compliant?
TRC
Are ER visits acceptable to abstract from for all numerators?
Yes, ER visits are acceptable
How many components are required for RDI
6
True or false: Hospice care and Palliative Care are the same thing and should be reported as an exclusion?
False, Palliative care is not the same as Hospice
If you identify an exclusion in a medical record, what is your first step?
Place on hold for supervisor to review
True or False: When abstracting a chart you will be looking for both COA and TRC data?
False, you will only be looking for data for your assigned measure.
Does the following statement meet compliancy for FSA? Member able to walk, dress, grocery shop, cook and eat without assistance.
No, you cannot combine ADLs and IADLs
True or false: Telehealth data is acceptable for all TRC numerators?
False, Telehealth is not acceptable for NIA or RDI
True or False: A TRC member with a discharge date of 12/1 should be excluded?
False, the member must remain inpatient through 12/1 to be excluded.
True or false: When abstracting multiple DOS for FSA you should enter a new line for each DOS?
False, you should only enter one DOS and add additional DOS to your notes in the comments section.
What are the names of the 2 tools that we utilize for abstraction?
rateLIFT and QMRM
What provider types can complete a medication review?
Prescribing practitioner and Clinical Pharmacist
What additional documentation do you need to see in order to utilize a faxed Discharge summary for RDI?
There must be evidence of when the documentation was placed in the outpatient medical record.
True or False: TRC members who reside in an Assisted Living facility through 12/1 should be excluded?
False, assisted living is not considered an acute inpatient facility.
What are the three things you need to complete before saving your data entry when abstracting in rateLIFT?
Enter notes
Select abstracted in vendor system check box
select an OR type