CRC Review with all Correct & 100% Verified Answers |
Latest Version |Already Graded A+
What is the definition of a best medical record for a RADV audit?
A. Documentation validates the CMS requested HCCs, contains all the necessary documentation
elements and has an additional HCC not requested by CMS
B. Documentation that validates all the requested HCCs
C. Documentation that validates the requested HCC, but there is no provider signature
D. Documentation that validates the requested HCC plus validates an additional HCC, contains all the
necessary documentation elements, but is missing the provider signature, for which a signed CMS
attestation was provided but not signed by the provider ✔Correct Answer-A. Documentation
validates the CMS requested HCCs, contains all the necessary documentation elements and has an
additional HCC not requested by CMS
Which of the following records would be a good source for a retrospective chart audit?
A. DME documentation
B. Cardiologist records
C. Dietician notes
D. RN notes ✔Correct Answer-Cardiologist records
Which of the following are reported by a provider for beneficiaries in a Medicare Advantage Plan
regardless of risk score calculation?
A. Acute conditions currently being treated only; it is not necessary to report chronic conditions or
family history.
B. Acute conditions currently being treated, all chronic conditions regardless of treatment, and all
family history.
C. Acute and chronic conditions being treated/monitored along with applicable family history.
D. Acute and chronic conditions, regardless of whether they are being treated or are resolved.
✔Correct Answer-
Which of the following attributes should retrospective audits include?
I. Provider signatures
II. Supporting documentation of the patient's diagnoses
III. DOS ✔Correct Answer-D. I, II and III
Which type of audit evaluates appropriate risk scores of patients?
A. UPIC
B. RADV and IVA
C. RAC
D. CERT ✔Correct Answer-B. RADV and IVA
What information is required when submitting documentation to support a diagnosis for a
RADV/IVA?
A. All patient records for the calendar year resulting in care for a chronic condition
,B. All inpatient hospital records where a readmission occurred
C. A single DOS for outpatient records and the full inpatient set for hospital records
D. All professional provider documentation for the previous year ✔Correct Answer-C. A single DOS
for outpatient records and the full inpatient set for hospital records
Which of the following is a PEG Tube categorized as?
I. Percutaneous Endoscopic Gastrostomy
II. G tube
III. Gastrostomy
IV. Colostomy
A. I
B. I and III
C. I, II, and III
D. IV ✔Correct Answer-C. I, II, and III
Patient is here for follow up. She was seen in the ER two weeks ago where she had an MRI of the
brain which showed significant cerebral arteriosclerosis. She was diagnosed with a TIA. She has been
experiencing slight memory loss. What diagnosis coding should be reported?
A. I67.2, Z86.73
B. G45.9
C. Z86.73, R41.3
D. G45.9, I67.2, R41.3 ✔Correct Answer-A. I67.2, Z86.73
The patient had hip replacement surgery three days ago. The provider documents the patient has
had an "iatrogenic cerebrovascular infarction due to recent hip replacement surgery during her
current hospital stay." What is the appropriate ICD-10-CM code for the cardiovascular event?
A. I63.50
B. G45.9
C. I97.821
D. I63.9 ✔Correct Answer-C. I97.821
Which ICD-10-CM code selection is reported for a nursing home patient with severe dementia often
caught wandering off from the floor?
A. F03.C18, Z91.83
B. F02.81, Z91.83
C. F03.C0, Z91.83
D. Z91.83 ✔Correct Answer-A. F03.C18, Z91.83
Patient presents to OB for routine obstetric care. The nurse takes the patient's blood pressure, and it
reads 140/80. The physician sees the patient and documents the following in the assessment and
plan: "A/P: Hypertension, Transient, Check BP at home daily and return to clinic in two days for nurse
BP check." What diagnosis coding should be reported?
A. I10
B. R03.0
C. O10.919, Z3A.00
, D. O13.9, Z3A.00 ✔Correct Answer-D. O13.9, Z3A.00
What is the correct ICD-10-CM code for an uncertain gastrointestinal stromal tumor?
A. C49.4
B. C26.9
C. D48.19
D. D37.8 ✔Correct Answer-C. D48.19
Assessment #1: Hypothyroidism Plan for #1: Lab: Comp Metabolic Panel I/P TSH (Ultra-Sensitive)
Urinalysis Routine T4
Assessment #2: Obesity Plan for #2: Follow-up: Fasting labs then return one month to review and do
annual GYN then. At that visit, will arrange biopsy face/temple lesion, order mammogram and she's
considering screen c scope.
A. E03.9, E66.9
B. E03.9, E66.01, Z68.37
C. E03.9, E66.9, Z68.37
D. I10, I25.2, E03.9, E66.9 ✔Correct Answer-C. E03.9, E66.9, Z68.37
IMPRESSION: 1. Deep venous thrombosis with bilateral pulmonary emboli with a history of a
previous pulmonary embolus in 05/2007. 2. Possible heparin antibodies while hospitalized. 3. History
of second-degree burns. PLAN: 1 Arixtra 10 milligrams SubQ daily, especially given his possible
history of heparin antibody. 2.The patient does require very large doses of Coumadin. He was on 17.5
milligrams alternating with 15 milligrams before he was removed from Coumadin. We will dose him
at 17.5 milligrams today. 3. CBC and protime in the morning. 4. The patient will require lifelong
anticoagulation as this is his second pulmonary emboli. I appreciate this opportunity to participate in
this patient's care.
What diagnosis coding should be reported?
A. I26.99
B. I82.4Y2, T82.818A
C. I26.99, I82.4Y2, Z86.711, Z79.01
D. I26.99, T50.995A, I82.4Y2, Z79.01, T45.525A ✔Correct Answer-A. I26.99
S: Here to follow up on her atrial fibrillation. No new problems. Feeling well. Medications are
reviewed and consistent with the medications that she was discharged home.
O: BP: 110/64. Pulse is regular at 72. Neck is supple. Chest is clear. Cardiac normal sinus rhythm.
A: Chronic atrial fibrillation, currently stable.
P: 1. Prothrombin time. 2. Follow up with myself in 1 month, sooner as needed if has any other
problems in the meantime. Will also check a creatinine and potassium today as well.
Electronically Signed: M, Jones, M.D.
Based on the review of the medical record, what discrepancy would a coder identify?
A. The list of medications was not documented which would affect coding
B. The provider did not document the chief complaint
C. The provider did not properly sign the documentation
D. There are no discrepancies with this documentation ✔Correct Answer-A. The list of medications
was not documented which would affect coding
What information is usually documented by the provider during the patient history?
Latest Version |Already Graded A+
What is the definition of a best medical record for a RADV audit?
A. Documentation validates the CMS requested HCCs, contains all the necessary documentation
elements and has an additional HCC not requested by CMS
B. Documentation that validates all the requested HCCs
C. Documentation that validates the requested HCC, but there is no provider signature
D. Documentation that validates the requested HCC plus validates an additional HCC, contains all the
necessary documentation elements, but is missing the provider signature, for which a signed CMS
attestation was provided but not signed by the provider ✔Correct Answer-A. Documentation
validates the CMS requested HCCs, contains all the necessary documentation elements and has an
additional HCC not requested by CMS
Which of the following records would be a good source for a retrospective chart audit?
A. DME documentation
B. Cardiologist records
C. Dietician notes
D. RN notes ✔Correct Answer-Cardiologist records
Which of the following are reported by a provider for beneficiaries in a Medicare Advantage Plan
regardless of risk score calculation?
A. Acute conditions currently being treated only; it is not necessary to report chronic conditions or
family history.
B. Acute conditions currently being treated, all chronic conditions regardless of treatment, and all
family history.
C. Acute and chronic conditions being treated/monitored along with applicable family history.
D. Acute and chronic conditions, regardless of whether they are being treated or are resolved.
✔Correct Answer-
Which of the following attributes should retrospective audits include?
I. Provider signatures
II. Supporting documentation of the patient's diagnoses
III. DOS ✔Correct Answer-D. I, II and III
Which type of audit evaluates appropriate risk scores of patients?
A. UPIC
B. RADV and IVA
C. RAC
D. CERT ✔Correct Answer-B. RADV and IVA
What information is required when submitting documentation to support a diagnosis for a
RADV/IVA?
A. All patient records for the calendar year resulting in care for a chronic condition
,B. All inpatient hospital records where a readmission occurred
C. A single DOS for outpatient records and the full inpatient set for hospital records
D. All professional provider documentation for the previous year ✔Correct Answer-C. A single DOS
for outpatient records and the full inpatient set for hospital records
Which of the following is a PEG Tube categorized as?
I. Percutaneous Endoscopic Gastrostomy
II. G tube
III. Gastrostomy
IV. Colostomy
A. I
B. I and III
C. I, II, and III
D. IV ✔Correct Answer-C. I, II, and III
Patient is here for follow up. She was seen in the ER two weeks ago where she had an MRI of the
brain which showed significant cerebral arteriosclerosis. She was diagnosed with a TIA. She has been
experiencing slight memory loss. What diagnosis coding should be reported?
A. I67.2, Z86.73
B. G45.9
C. Z86.73, R41.3
D. G45.9, I67.2, R41.3 ✔Correct Answer-A. I67.2, Z86.73
The patient had hip replacement surgery three days ago. The provider documents the patient has
had an "iatrogenic cerebrovascular infarction due to recent hip replacement surgery during her
current hospital stay." What is the appropriate ICD-10-CM code for the cardiovascular event?
A. I63.50
B. G45.9
C. I97.821
D. I63.9 ✔Correct Answer-C. I97.821
Which ICD-10-CM code selection is reported for a nursing home patient with severe dementia often
caught wandering off from the floor?
A. F03.C18, Z91.83
B. F02.81, Z91.83
C. F03.C0, Z91.83
D. Z91.83 ✔Correct Answer-A. F03.C18, Z91.83
Patient presents to OB for routine obstetric care. The nurse takes the patient's blood pressure, and it
reads 140/80. The physician sees the patient and documents the following in the assessment and
plan: "A/P: Hypertension, Transient, Check BP at home daily and return to clinic in two days for nurse
BP check." What diagnosis coding should be reported?
A. I10
B. R03.0
C. O10.919, Z3A.00
, D. O13.9, Z3A.00 ✔Correct Answer-D. O13.9, Z3A.00
What is the correct ICD-10-CM code for an uncertain gastrointestinal stromal tumor?
A. C49.4
B. C26.9
C. D48.19
D. D37.8 ✔Correct Answer-C. D48.19
Assessment #1: Hypothyroidism Plan for #1: Lab: Comp Metabolic Panel I/P TSH (Ultra-Sensitive)
Urinalysis Routine T4
Assessment #2: Obesity Plan for #2: Follow-up: Fasting labs then return one month to review and do
annual GYN then. At that visit, will arrange biopsy face/temple lesion, order mammogram and she's
considering screen c scope.
A. E03.9, E66.9
B. E03.9, E66.01, Z68.37
C. E03.9, E66.9, Z68.37
D. I10, I25.2, E03.9, E66.9 ✔Correct Answer-C. E03.9, E66.9, Z68.37
IMPRESSION: 1. Deep venous thrombosis with bilateral pulmonary emboli with a history of a
previous pulmonary embolus in 05/2007. 2. Possible heparin antibodies while hospitalized. 3. History
of second-degree burns. PLAN: 1 Arixtra 10 milligrams SubQ daily, especially given his possible
history of heparin antibody. 2.The patient does require very large doses of Coumadin. He was on 17.5
milligrams alternating with 15 milligrams before he was removed from Coumadin. We will dose him
at 17.5 milligrams today. 3. CBC and protime in the morning. 4. The patient will require lifelong
anticoagulation as this is his second pulmonary emboli. I appreciate this opportunity to participate in
this patient's care.
What diagnosis coding should be reported?
A. I26.99
B. I82.4Y2, T82.818A
C. I26.99, I82.4Y2, Z86.711, Z79.01
D. I26.99, T50.995A, I82.4Y2, Z79.01, T45.525A ✔Correct Answer-A. I26.99
S: Here to follow up on her atrial fibrillation. No new problems. Feeling well. Medications are
reviewed and consistent with the medications that she was discharged home.
O: BP: 110/64. Pulse is regular at 72. Neck is supple. Chest is clear. Cardiac normal sinus rhythm.
A: Chronic atrial fibrillation, currently stable.
P: 1. Prothrombin time. 2. Follow up with myself in 1 month, sooner as needed if has any other
problems in the meantime. Will also check a creatinine and potassium today as well.
Electronically Signed: M, Jones, M.D.
Based on the review of the medical record, what discrepancy would a coder identify?
A. The list of medications was not documented which would affect coding
B. The provider did not document the chief complaint
C. The provider did not properly sign the documentation
D. There are no discrepancies with this documentation ✔Correct Answer-A. The list of medications
was not documented which would affect coding
What information is usually documented by the provider during the patient history?
