CCDS-O Practice Questions

A.  

The risk score will be calculated based upon HCC 23 because it was captured first.

B.  

The risk score will be calculated based upon HCC 18 because it has the highest weight in the hierarchy HCC 23.

C.  

The risk score will be calculated based upon HCC 18 and HCC 23 because they were both documented and coded in the same calendar year.

D.  

The risk score will not be impacted by the presence of HCC 18 or HCC 23 because they are not currently being treated.

A.  

“Dr.: Your patient has a past medical history of CHF noted in her problem list. A review of her medication list shows Lasix 20 mg Q

D.  

Please review this diagnosis for pertinence and relevance during her upcoming visit and specify the type and acuity of the CHF if the diagnosis is still being addressed.”

B.  

“Dr.: Your patient was ordered an echocardiogram at her last visit. Can you please document that the CHF was addressed as the basis for the study?”

C.  

“Dr.: Your patient has chronic diastolic heart failure documented in her problem list. Can you please add this diagnosis to your progress note from her office visit?”

D.  

“Dr.: Your patient was here for her Annual Wellness Visit. A review of her medication list shows a new order for Lasix 20mg Q

D.  

A review of your progress note from that visit notes 2+ pitting edema bilaterally and that the patient complains of shortness of breath at night requiring her to sleep on 2 pillows. Please add CHF to the problem list if this is the diagnosis you are treating with the Lasix.”

E.  

F.  

G.  

A.  

HHS-HCCs use the current year’s demographics/diagnoses to predict the current year’s spending.

B.  

HHS-HCCs use the previous year’s demographics/diagnoses to predict the next year’s spending.

C.  

HHS-HCCs use current ICD-10-CM and CPT codes to predict the current year’s spending.

D.  

HHS-HCCs use the previous year’s ICD-10-CM and CPT codes to predict the next year’s spending.

A.  

Diagnoses assigned by a diagnostic radiologist are considered during RADV reviews.

B.  

Conditions reported must be documented in the final visit diagnoses or facesheet of the medical record.

C.  

Acceptable physician authentication includes hand-written or electronic signatures.

D.  

Diagnoses assigned by technicians are considered during RADV reviews.

A.  

OPPS

B.  

MEAT

C.  

MACRA

D.  

RADV

A.  

Providers are more engaged in 2023 than in 2022.

B.  

Treated a more complex population than any of the other clinics in 2023.

C.  

Served a sicker population in 2023 than in 2022.

D.  

Consistently captured a higher RAF percentage each month in 2023 than in 2022.

A.  

The ACO will expect to receive dollars in shared savings.

B.  

The ACO will expect to pay back dollars in shared savings.

C.  

The ACO will be eligible for shared savings after the second year.

D.  

The ACO will have shared savings or penalty determined at the end of the agreement period.

A.  

Add diagnosis of CKD stage 3 to claim, as it is reportable.

B.  

Review CKD staging criteria with provider.

C.  

Delete CKD diagnosis from claim as it was not treated during this encounter.

D.  

Query for stage 4 CK

D.  

A.  

Morbid obesity and status of the DVT

B.  

Hypercoagulability and hypertensive urgency

C.  

Hypertensive urgency and status of the DVT

D.  

Hypercoagulability and morbid obesity

A.  

Location of shared note, date of shared note, provider name, and specific documentation

B.  

Location of shared note, provider name, specific documentation, and any follow-up procedure

C.  

Provider name, date of shared note, specific documentation, and any follow-up procedure

D.  

Provider name, date of shared note, follow-up procedure, and date of review