CCDS-O 무료 덤프문제 온라인 액세스

An African American male enrolled in Medicaid has not been taking his blood pressure medication. Which of the following factors impacts this beneficiary's risk score?

• A.Medicaid status and gender
• B.Patient noncompliance and age
• C.ICD-10-CM codes and race
• D.Medicaid status and race

Which of the following BEST defines a risk score under the CMS-HCC model?

• A.Beneficiary's health status and risk of mortality
• B.Beneficiary's individual demographic and health status
• C.Beneficiary and family demographics
• D.Beneficiary's demographics and social determinants

Provider documentation states: "Patient is here for follow-up for multiple chronic conditions, including COPD, HTN, DM, and alcohol abuse. She admits to drinking more than she has in the past, starting in the early morning and consumes at least a pint a day. Her BP today is elevated at 165/89. Discussed medications and diet. As she continues to be dependent on alcohol, several treatment options were offered. She stated she would think about it." Which of the following groups of diagnoses is supported by the clinical indicators described?

• A.DM Type 2 without complications, HTN, alcohol abuse
• B.DM Type 2 without complications, HTN, alcohol dependence
• C.DM Type 2 with complications, COPD, alcohol dependence
• D.DM Type 2 with complications, COPD, HTN, alcohol use

Which of the following best differentiates inpatient from outpatient coding guidelines?

• A.Outpatient coding ignores encounter diagnoses
• B.Both use the same guidelines with no differences
• C.Inpatient guidelines emphasize diagnosis sequencing and MS-DRGs
• D.Outpatient guidelines focus on principal diagnoses

A prospective record review of a problem list states: "Upper respiratory infection (resolved), fractured right femoral head (resolved), metastatic melanoma (followed by oncology), hypertension, morbid obesity, and bipolar disorder." Which of the following query opportunities would provide the highest risk adjusted impact?

• A.Sequelae related to fracture femur
• B.Body mass index
• C.Specificity of bipolar disorder
• D.Status of metastatic melanoma