Hcc test 1 - Study guides, Class notes & Summaries

HCC Unit 1 Test Questions & Answers 2024/2025

HCC Psych 2301 Module 1 Questions with Verified Answers What is the definition of psychology? the scientific study of behavior and mental processes research methods that yield descriptions behavior rather than casual explanations are called ______ methods descriptive when researchers want to record behaviors that occur in a laboratory setting, then they use _____ laboratory observation the purpose of _____ is to provide a detailed description of some behavior or disorder, genera...

AAPC - CRC TEST 1 LATEST UPDATE ALREADY PASSED Which of the following medications are prescribed to cancer patients to eradicate the cancer or for prophylaxis? I. Tamoxifen II. Anastrozole III. Januvia IV. Crestor A. I and II B. I and III C. II and III D. I, II, III and IV A. I and II The definition of a best medical record for a RADV audit is: A. Documentation validates the CMS requested HCCs, contains all the necessary documentation elements and has an additional HCC not requested by CMS B. ...

Healthcare Reimbursement -Study guideAccountable care organization - correct answer Population based model for healthcare allowable charge - correct answer Amount the payer will reimburse providers for the service Attribution - correct answer Assignment of a beneficiary to particular organization Billed charges - correct answer Amount the provider is actually charging for a service Giant ACO has agreed to a shared savings rate of 65 percent and a shared loss rate of 40 percent with C...

Healthcare Reimbursement -Study guide Question and answers 100% correct 2023/2024Accountable care organization - correct answer Population based model for healthcare allowable charge - correct answer Amount the payer will reimburse providers for the service Attribution - correct answer Assignment of a beneficiary to particular organization Billed charges - correct answer Amount the provider is actually charging for a service Giant ACO has agreed to a shared savings rate of 65 percent...

CRC EXAM QUESTIONS AND ANSWERS 100% PASS Risk Adjustment Data Element - Correct Answer ️️ -Age, Gende, Socioeconomic status, Disability status, Insurance status(Medicaid, dual-eligible,) Claims data elements such as procedure codes, place of service codes, special patient-specific conditions hospice, ESRD RAF - Correct Answer ️️ -Risk Adjustment Factor Scores Three main types of reviews - Correct Answer ️️ -Retrospective, Concurrent and prospective Retrospective - Correct Ans...

which medicare part is reimbursed based on the risk adjustment models part c who typically employs risk adjustment coders health plans is a health plan required to follow the minimum necessary rule yes, health plans are covered entities and are therefore required to follow the minimum necessary rule what is an example of fraud reporting a diagnosis or co-morbidity that does not exist to obtain higher reimbursement which part of medicare is also called medicare adv...