CRC Exam Questions with 100% Correct Answers Latest Graded A+

CRC Exam Questions with 100% Correct Answers Latest Graded A+


Question:
Risk Adjustment Data Element
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


Question:
RAF
Answer:
Risk Adjustment Factor Scores


Question:
Three main types of reviews
Answer:
Retrospective, Concurrent and prospective


Question:
Retrospective
Answer:
reviews are performed after the information has been reported and in risk adjustment these are prior
years dos


Question:
Concurrent reviews
Answer:
performed ongoing as patients are seen prior to reporting and in risk adjustment the current year


Question:
Prospective reviews

, Answer:
will effect the next year and not the current year where payment is concerned. They are used to
forcast


Question:
Types of Risk Adjustment Models(HHS)
Answer:
HHS hEALTH AND HUMAN SERVICES hIERARCHICAL CONDITION(Commercial,
individual and small grooup


Question:
Types of Risk Adjustment Modles(CDPS)
Answer:
Chronic Illness and Disability payment systems(Medicaid)


Question:
Types of Risk Adjustment Models(HCC-C)
Answer:
Hierarchical Condition Category, Part C


Question:
Types of Risk Adjustment model (DRG)
Answer:
Diagnosis Related Group (Inpatient)


Question:
Types of Risk Adjustment model (ACG)
Answer:
Adjusted Clinical Groups(Outpatient)


Question:
Prescription based program risk adjustment examples:UCSD
Answer: