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CDEO EXAM BRAND NEW OFFICIAL
QUESTIONS WITH ANSWERS.
Risk adjustment models - correct answer -adjust health plan
revenue to better reflect the projected costs of the patient
population and compensate plans that enroll high-cost patients.
(CDPS) Chronic Illness and Disability Payment System - correct
answer -is the risk adjustment model used by Medicaid. Model
most commonly used by Medicare.
HCC risk adjustment model - correct answer -Identified variables
from patient to patient can help identify those patients who may
have a higher medical need than others. This helps to explain
current trends in healthcare spending, and assists in the
forecasting of future needs of those patients, and identifies the
resources that will be necessary to deliver care efficiently.
Yearly - correct answer -How often does CMS normalize risk
scores and update the list of diagnosis codes for HCC coding?
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Modifier 76 - correct answer -Repeated procedure of service by
same provider or other professional
Modifier 77 - correct answer -Repeated procedure by another
physician or other qualified healthcare professional
Difference between mod 77 and 76 - correct answer -are reported
when a service is repeated on the same same date of service,
difference between the two is whether the same or different
provider repeats the procedure.
RAF Score - correct answer -How often does CMS normalize risk
scores and update the list of diagnosis codes for HCC coding?
The CPT® codebook describes the surgery package as including:
- correct answer -Subsequent to the decision for surgery, E/M
services on the date immediately prior to or on the date of the
procedure (including history and physical)
• Local anesthesia: defined as local infiltration,
metacarpal/metatarsal/digital block, or topical anesthesia
• Operation itself
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• Immediate post-operative care, including dictation of operative
notes, talking with family and other physicians
• Writing orders
• Evaluation of patient in post-anesthesia recovery
• Normal, uncomplicated follow-up care
Status indicator XXX - correct answer -The global concept does
not apply to this code. (e.g., Evaluation and Management
services, Anesthesia, Laboratory and Radiology procedures)
CPT® 10021, 36593, 38220, 44720.
Modifier 59 - correct answer -*different surgical session
*different procedure or surgery
*diff site or organ system
*separate excision or incision
*separate lesion or injury
Modifier XE - correct answer -Separate encounter - a service that
is distinct because it occurred during a separate encounter
encounter. Should be used only to describe a separate
encounters on the same date of service.
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Modifier XS - correct answer -Separate Structure: A service that is
distinct because it was performed on a separate organ/structure.
Modifier Xp - correct answer -separate performed by different
practictioner
Modifier XU - correct answer -Unusual non-overlapping service-
the use of a service that is distinct because it does
basal cell carcinoma (BCC) - correct answer -skin cancer in the
basal cell layer of the epidermis; very common cancer caused by
sun exposure but rarely metastasizes or spreads. Most common
skin cancer.
squamous cell carcinoma (SCC) - correct answer -skin cancer
that begins in the epidermis but may grow into deeper tissue;
Occur in all areas of the body, usually started in the BCC and
more likely to invade fatty tissue beneath the skin, more likely to
metastasize to the lymph nodes but uncommon occurrence.
Second most common type of skin cancer.
CDEO EXAM BRAND NEW OFFICIAL
QUESTIONS WITH ANSWERS.
Risk adjustment models - correct answer -adjust health plan
revenue to better reflect the projected costs of the patient
population and compensate plans that enroll high-cost patients.
(CDPS) Chronic Illness and Disability Payment System - correct
answer -is the risk adjustment model used by Medicaid. Model
most commonly used by Medicare.
HCC risk adjustment model - correct answer -Identified variables
from patient to patient can help identify those patients who may
have a higher medical need than others. This helps to explain
current trends in healthcare spending, and assists in the
forecasting of future needs of those patients, and identifies the
resources that will be necessary to deliver care efficiently.
Yearly - correct answer -How often does CMS normalize risk
scores and update the list of diagnosis codes for HCC coding?
, Page | 2
Modifier 76 - correct answer -Repeated procedure of service by
same provider or other professional
Modifier 77 - correct answer -Repeated procedure by another
physician or other qualified healthcare professional
Difference between mod 77 and 76 - correct answer -are reported
when a service is repeated on the same same date of service,
difference between the two is whether the same or different
provider repeats the procedure.
RAF Score - correct answer -How often does CMS normalize risk
scores and update the list of diagnosis codes for HCC coding?
The CPT® codebook describes the surgery package as including:
- correct answer -Subsequent to the decision for surgery, E/M
services on the date immediately prior to or on the date of the
procedure (including history and physical)
• Local anesthesia: defined as local infiltration,
metacarpal/metatarsal/digital block, or topical anesthesia
• Operation itself
, Page | 3
• Immediate post-operative care, including dictation of operative
notes, talking with family and other physicians
• Writing orders
• Evaluation of patient in post-anesthesia recovery
• Normal, uncomplicated follow-up care
Status indicator XXX - correct answer -The global concept does
not apply to this code. (e.g., Evaluation and Management
services, Anesthesia, Laboratory and Radiology procedures)
CPT® 10021, 36593, 38220, 44720.
Modifier 59 - correct answer -*different surgical session
*different procedure or surgery
*diff site or organ system
*separate excision or incision
*separate lesion or injury
Modifier XE - correct answer -Separate encounter - a service that
is distinct because it occurred during a separate encounter
encounter. Should be used only to describe a separate
encounters on the same date of service.
, Page | 4
Modifier XS - correct answer -Separate Structure: A service that is
distinct because it was performed on a separate organ/structure.
Modifier Xp - correct answer -separate performed by different
practictioner
Modifier XU - correct answer -Unusual non-overlapping service-
the use of a service that is distinct because it does
basal cell carcinoma (BCC) - correct answer -skin cancer in the
basal cell layer of the epidermis; very common cancer caused by
sun exposure but rarely metastasizes or spreads. Most common
skin cancer.
squamous cell carcinoma (SCC) - correct answer -skin cancer
that begins in the epidermis but may grow into deeper tissue;
Occur in all areas of the body, usually started in the BCC and
more likely to invade fatty tissue beneath the skin, more likely to
metastasize to the lymph nodes but uncommon occurrence.
Second most common type of skin cancer.
