CCDS-O 試験問題を無料オンラインアクセス

Which of the following is true of the RAF metric?

• A.It is used to calculate each primary care office visit reimbursement based on documentation of chronic conditions.
• B.It is a relative measure of the probable costs to meet the healthcare needs of the individual beneficiary.
• C.It is based only on demographic factors such as Medicaid status, gender, or aged/disabled.
• D.It predicts how much the individual provider will be reimbursed for the concurrent practice year.

If a patient is being seen for follow-up and the documentation indicates that the patient was admitted to the hospital 28 days ago with an acute cerebral infarction with remaining right-sided weakness, which of the following diagnoses would be MOST appropriate?

• A.Cerebral infarction, unspecified, hemiparesis affecting right dominant side
• B.Hemiparesis following cerebral infarction affecting right dominant side
• C.Hemiparesis following cerebral infarction affecting unspecified side
• D.Other sequelae of cerebral infarction

Which of the following categories of MIPS is MOST impacted by CDI provider education around specificity with diagnoses and documentation?

• A.Improvement activity and promoting interoperability
• B.Quality and promoting interoperability
• C.Cost and improvement activity
• D.Quality and cost

A CDI specialist is following up on a query while the provider is seeing patients in the clinic. The BEST action that will support a quick and compliant response to the query is to

• A.catch the provider in the hallway between patients.
• B.discuss in a private room with the door closed.
• C.wait to speak with the provider during the next scheduled meeting.
• D.leave a sticky note on the chart of the next patient.

Given the following CMS-HCC categories, which is the correct order (highest to lowest) in the hierarchy?

• A.HCC 38, HCC 36, HCC 37, HCC 35
• B.HCC 38, HCC 37, HCC 36, HCC 35
• C.HCC 35, HCC 37, HCC 36, HCC 38
• D.HCC 35, HCC 36, HCC 37, HCC 38