AAPC Certified Risk Adjustment Coder (CRC) Exam 500+ Flashcards
What is the study of how drugs interact with the body Pharmacodynamics
called?
The study of how the body absorbs, distributes, Pharmacokinetics
metabolizes, and excretes drugs is called ___?
The ______ of a drug is the highest concentration it Peak plasma level
reaches in the bloodstream.
A patient develops a rash after taking penicillin. This is Adverse drug reaction
an example of a ______?
The process by which a drug is transformed into a Metabolism
different chemical form in the body is called?
A patient's drug level remains high despite dosage Excretion
adjustment. Which pharmacokinetic phase might be
altered?
Drugs that block receptor sites and prevent a response Antagonists
are called ______.
Drugs that mimic the action of a natural substance in the Agonists
body are called?
What is the term for the study of drug movement through Absorption, Distribution, Metabolism, Excretion (ADME)
the body?
A patient is taking two medications that increase the risk Drug-drug interaction
of bleeding. This interaction is called?
The amount of drug needed to produce a therapeutic Therapeutic dose
effect is the ______.
The ________ is the dose at which a drug is toxic to LD50 (lethal dose 50)
50% of the population.
A patient's kidney function decreases drug clearance. Excretion
This affects which pharmacokinetic phase?
Drugs that inhibit enzymes to decrease drug activity are Enzyme inhibitors
called?
A patient experiences dizziness when taking a new Side effect
antihypertensive. This is an example of a ______.
The ________ is the lowest dose that produces a Minimum effective dose
noticeable effect.
, AAPC Certified Risk Adjustment Coder (CRC) Exam 500+ Flashcards
A patient stops taking medication early, causing a Nonadherence
disease flare-up. What term describes this
phenomenon?
Drugs with a high potential for abuse are classified as? Controlled substances (Schedule I-V)
The rate at which a drug leaves the body is called? Clearance
Drugs metabolized in the liver undergo ________. Biotransformation
A medication designed to release slowly over time is Extended-release formulation
called?
The measure of drug safety comparing therapeutic dose Therapeutic index
to toxic dose is called?
A patient's blood pressure rises after missing a dose. Rebound effect
This is an example of?
A _______ reduces inflammation without causing Nonsteroidal anti-inflammatory drug (NSAID)
immunosuppression.
A drug that prevents platelet aggregation is called? Antiplatelet agent
Drugs that interfere with bacterial growth are called? Antibiotics
_______ drugs increase urine output. Diuretics
A patient develops liver toxicity from acetaminophen Hepatotoxicity
overdose. This is an example of?
Drugs that lower blood glucose levels are called? Hypoglycemic agents
The ________ effect occurs when a drug binds to Off-target effect
unintended receptors.
Two drugs compete for the same receptor, reducing each Competitive antagonism
other's effect. This is an example of?
Drugs that block stomach acid secretion are called? Proton pump inhibitors
, AAPC Certified Risk Adjustment Coder (CRC) Exam 500+ Flashcards
_______ is the concentration of a drug needed to EC50 (effective concentration 50)
produce 50% of its maximum effect.
A patient develops kidney failure due to aminoglycoside Nephrotoxicity
antibiotics. This is an example of?
Drugs that increase heart rate are classified as? Positive chronotropic agents
The ________ route delivers medication directly into the Intravenous
bloodstream.
A patient takes a new drug that induces liver enzymes, Enzyme induction
reducing the effect of their other medication. This is an
example of?
Drugs that prevent blood clot formation are called? Anticoagulants
The ________ effect occurs when combined drugs Synergistic
produce a greater effect than each alone.
A A patient develops a cough after starting an ACE Adverse drug reaction (ADR)
inhibitor. What type of reaction is this?
Drugs that block histamine H1 receptors are called? Antihistamines
Drugs that increase the strength of heart contraction are Positive inotropes
called _______.
The term for drugs absorbed through the skin is? Transdermal
A patient experiences severe hypoglycemia due to Toxicity
insulin overdose. What term describes this?
Drugs that relax bronchial muscles are called? Bronchodilators
The _______ is the period when drug levels are Therapeutic window
therapeutic but below toxic levels.
Drugs that suppress the immune system are called? Immunosuppressants
A patient develops tremors after taking a high dose of a Dose-dependent adverse effect
stimulant. This is an example of?
, AAPC Certified Risk Adjustment Coder (CRC) Exam 500+ Flashcards
The ________ effect occurs when the body adapts to a Tolerance
drug, reducing its effect over time.
Drugs used to treat depression by increasing serotonin SSRIs (Selective Serotonin Reuptake Inhibitors)
levels are called?
________ drugs block sodium channels to prevent nerve Local anesthetics
signal transmission.
A patient experiences sudden drop in blood pressure Acute drug reaction
after rapid IV administration. This is an example of?
What does HCC stand for in risk adjustment coding? Hierarchical Condition Categories
HCC models are primarily used to predict ________ in Future healthcare costs
Medicare populations.
A patient has multiple chronic conditions. Which model HCC model
would group their conditions for risk adjustment?
The CDPS model is specifically used for which Medicaid
population?
CDPS stands for ________. Chronic Illness and Disability Payment System
DefinitionA model that uses claims data to estimate Risk adjustment model
expected healthcare costs.
A plan wants to adjust payments for dual-eligible Hybrid model
patients. Which model might it use?
Hybrid models combine ______ and ______ approaches Diagnosis, demographic
to predict risk.
In HCC coding, conditions are grouped based on their Severity
________ and cost impact.
DefinitionA model that assigns patients to categories HCC model
based on ICD-coded diagnoses.
CDPS uses ________ data to predict future Medicaid Diagnosis and pharmacy
costs.
A patient with diabetes and CHF is being evaluated for HCC model
risk adjustment. Which model is most likely used?
What is the study of how drugs interact with the body Pharmacodynamics
called?
The study of how the body absorbs, distributes, Pharmacokinetics
metabolizes, and excretes drugs is called ___?
The ______ of a drug is the highest concentration it Peak plasma level
reaches in the bloodstream.
A patient develops a rash after taking penicillin. This is Adverse drug reaction
an example of a ______?
The process by which a drug is transformed into a Metabolism
different chemical form in the body is called?
A patient's drug level remains high despite dosage Excretion
adjustment. Which pharmacokinetic phase might be
altered?
Drugs that block receptor sites and prevent a response Antagonists
are called ______.
Drugs that mimic the action of a natural substance in the Agonists
body are called?
What is the term for the study of drug movement through Absorption, Distribution, Metabolism, Excretion (ADME)
the body?
A patient is taking two medications that increase the risk Drug-drug interaction
of bleeding. This interaction is called?
The amount of drug needed to produce a therapeutic Therapeutic dose
effect is the ______.
The ________ is the dose at which a drug is toxic to LD50 (lethal dose 50)
50% of the population.
A patient's kidney function decreases drug clearance. Excretion
This affects which pharmacokinetic phase?
Drugs that inhibit enzymes to decrease drug activity are Enzyme inhibitors
called?
A patient experiences dizziness when taking a new Side effect
antihypertensive. This is an example of a ______.
The ________ is the lowest dose that produces a Minimum effective dose
noticeable effect.
, AAPC Certified Risk Adjustment Coder (CRC) Exam 500+ Flashcards
A patient stops taking medication early, causing a Nonadherence
disease flare-up. What term describes this
phenomenon?
Drugs with a high potential for abuse are classified as? Controlled substances (Schedule I-V)
The rate at which a drug leaves the body is called? Clearance
Drugs metabolized in the liver undergo ________. Biotransformation
A medication designed to release slowly over time is Extended-release formulation
called?
The measure of drug safety comparing therapeutic dose Therapeutic index
to toxic dose is called?
A patient's blood pressure rises after missing a dose. Rebound effect
This is an example of?
A _______ reduces inflammation without causing Nonsteroidal anti-inflammatory drug (NSAID)
immunosuppression.
A drug that prevents platelet aggregation is called? Antiplatelet agent
Drugs that interfere with bacterial growth are called? Antibiotics
_______ drugs increase urine output. Diuretics
A patient develops liver toxicity from acetaminophen Hepatotoxicity
overdose. This is an example of?
Drugs that lower blood glucose levels are called? Hypoglycemic agents
The ________ effect occurs when a drug binds to Off-target effect
unintended receptors.
Two drugs compete for the same receptor, reducing each Competitive antagonism
other's effect. This is an example of?
Drugs that block stomach acid secretion are called? Proton pump inhibitors
, AAPC Certified Risk Adjustment Coder (CRC) Exam 500+ Flashcards
_______ is the concentration of a drug needed to EC50 (effective concentration 50)
produce 50% of its maximum effect.
A patient develops kidney failure due to aminoglycoside Nephrotoxicity
antibiotics. This is an example of?
Drugs that increase heart rate are classified as? Positive chronotropic agents
The ________ route delivers medication directly into the Intravenous
bloodstream.
A patient takes a new drug that induces liver enzymes, Enzyme induction
reducing the effect of their other medication. This is an
example of?
Drugs that prevent blood clot formation are called? Anticoagulants
The ________ effect occurs when combined drugs Synergistic
produce a greater effect than each alone.
A A patient develops a cough after starting an ACE Adverse drug reaction (ADR)
inhibitor. What type of reaction is this?
Drugs that block histamine H1 receptors are called? Antihistamines
Drugs that increase the strength of heart contraction are Positive inotropes
called _______.
The term for drugs absorbed through the skin is? Transdermal
A patient experiences severe hypoglycemia due to Toxicity
insulin overdose. What term describes this?
Drugs that relax bronchial muscles are called? Bronchodilators
The _______ is the period when drug levels are Therapeutic window
therapeutic but below toxic levels.
Drugs that suppress the immune system are called? Immunosuppressants
A patient develops tremors after taking a high dose of a Dose-dependent adverse effect
stimulant. This is an example of?
, AAPC Certified Risk Adjustment Coder (CRC) Exam 500+ Flashcards
The ________ effect occurs when the body adapts to a Tolerance
drug, reducing its effect over time.
Drugs used to treat depression by increasing serotonin SSRIs (Selective Serotonin Reuptake Inhibitors)
levels are called?
________ drugs block sodium channels to prevent nerve Local anesthetics
signal transmission.
A patient experiences sudden drop in blood pressure Acute drug reaction
after rapid IV administration. This is an example of?
What does HCC stand for in risk adjustment coding? Hierarchical Condition Categories
HCC models are primarily used to predict ________ in Future healthcare costs
Medicare populations.
A patient has multiple chronic conditions. Which model HCC model
would group their conditions for risk adjustment?
The CDPS model is specifically used for which Medicaid
population?
CDPS stands for ________. Chronic Illness and Disability Payment System
DefinitionA model that uses claims data to estimate Risk adjustment model
expected healthcare costs.
A plan wants to adjust payments for dual-eligible Hybrid model
patients. Which model might it use?
Hybrid models combine ______ and ______ approaches Diagnosis, demographic
to predict risk.
In HCC coding, conditions are grouped based on their Severity
________ and cost impact.
DefinitionA model that assigns patients to categories HCC model
based on ICD-coded diagnoses.
CDPS uses ________ data to predict future Medicaid Diagnosis and pharmacy
costs.
A patient with diabetes and CHF is being evaluated for HCC model
risk adjustment. Which model is most likely used?
