CRC EXAM NEWEST 2024-2025 ACTUAL EXAM
COMPLETE 190 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
Terms in this set (194)
to determine suspected How is predictive modeling used in risk adjustment?
diagnosis based on data
elements.
Which of the following data elements are used in
predictive modeling?
I. DME claims
II. Prescription drug events
III. Physician claims data
d. I, II, III, and IV IV. Facility claims data
a. III and IV
b. I, II, and IV
c. I, II, and III
d. I, II, III, and IV
What might happen as a result of predictive
modeling?
a. Disease management a. Disease management programs
programs b. Concurrent audits
c. Transporation benefits
d. Reduction in case management
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