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DVA CRC Exam 9 (Risk Adjustment Blitz) 2024 Quizzes & Ans!! $12.99   Add to cart

Exam (elaborations)

DVA CRC Exam 9 (Risk Adjustment Blitz) 2024 Quizzes & Ans!!

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DVA CRC Exam 9 (Risk Adjustment Blitz) 2024 Quizzes & Ans!!

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  • October 17, 2024
  • 11
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
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27 Multiple choice questions

Term 1 of 27
What does HEDIS stand for?

Hierarchy

Healthcare Effectiveness Data and Information Set

Administrative Data Hybrid Data Survey Data

associate the medication with the progress of the disease

Definition 2 of 27
CPT Category II codes are used for Physician Quality Reporting System (PQRS) for CMS, for
HEDIS and STAR to show the quality of care given to a patient with a chronic condition. Category
II codes all have a fifth character of "F".

STAR ratings include the screening, tests, vaccines, measurements showing that chronic
conditions are well managed, and ______________.

What type of CPT codes are used for PQRS to show specific quality of care for a patient?

A physician practice or an inpatient or outpatient facility should check the Medicare
exclusions list to:


Which of the following does not directly factor into the risk adjustment score?

, Term 3 of 27
In calculating a risk adjustment score, diabetes with ketoacidosis would trump diabetes without
complications. The system that lays out what diagnosis trumps another diagnosis is known as
disease ______________.

matrix

classification


hierarchy

taxonomy

Term 4 of 27
Factors that influence risk adjustment do not currently include ___________.

socioeconomic status

age


gender

race

Term 5 of 27
HEDIS provides ___________ measures that map across ______ domains of healthcare delivery.

50 measures that map across 3 domains


81 measures that map across 5 domains

100 measures that map across 7 domains

75 measures that map across 4 domains

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