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Question 1

Which of the following physician performance metrics BEST illustrates provider engagement with

outpatient CDI specialist?

Options :

A : Query response rates and problem list updates

B : Problem list updates and RAF capture rates

C : Physician MIPS scores and query response rates

D : Physician RAF scores and RAF capture rates

Answer: A

Question 2

Using the table above, which of the following HCC(s) should be assigned for documentation stating

the patient has resolving AKI due to ATN, creatinine levels slowly returning to baseline, and CKDstage

3-4?

Options :

A : HCC 326

B : HCC 329

C : HCC 328

D : HCC 327

Answer: D

Question 3

Which diagnosis and treatment plan may generate a query?

Options :

A : Prostate carcinoma and luteinizing hormone-releasing hormone

B : Atrial fibrillation and amiodarone

C : Malnutrition and parenteral nutrition

D : Severe major depressive disorder and immunotherapy

Answer: D

Question 4

Documentation from which of the following facility settings contributes to the CMS-HCC risk score?

Options :

A : Freestanding ambulatory surgical center

B : Hospital ambulatory clinic

C : Hospice care

D : Renal dialysis center

Answer: B

Question 5

Which of the following is a form of a cardiac condition that may be treated with a beta-blocker?

Options :

A : Third degree heart block

B : Coronary artery disease

C : Sinus bradycardia

D : Cardiomyopathy

Answer: B