AAPC - CRC TEST 3 QUESTIONS WITH
100% VERIFIED ANSWERS!!
1 of 50
Term
An AV fistula connects:
The aorta to a vein
An artery to a varicose vein
An artery to a vein
An artery to a ventricle
Give this one a try later!
D. I, II, III, and IV C. An artery to a vein
, A. A/P: Mild CKD C. C25.9, E08.641, Z79.4
Don't know?
2 of 50
Term
During a retrospective chart audit for a XYZ Medicare Advantage
Company, it is determined a diagnosis submitted is not supported by
medical record. There is no additional information to validate the
diagnosis. The member is part of a health plan that has 1,500
members and the insurance company received $350 for this
diagnosis. This HCC is chosen for a RADV audit. Using the CMS
extrapolation methodology, how much could the company have
saved if it deleted this code during the retrospective chart audit
process?
A. $1,500
B.$350
C. $525,000
D.There is not a financial penalty
Give this one a try later!
A. I and II C. E11.52, Z79.4
A. I25.10, I10 C. $525,000
Don't know?
,3 of 50
Term
Risk Adjustment is a:
A. Prospective payment system
B.Retrospective payment system
C. Fee-for-service payment system
D.Case rate payment system
Give this one a try later!
A. Prospective payment
C. Acute Respiratory Failure
system
B. E66.01, Z68.42 C. An artery to a vein
Don't know?
4 of 50
Term
Which of the following signatures is acceptable?
I. Signed but not read
II. Electronically produced: John Smith
III. Dictated but not read
IV. Electronically signed and authenticated by John Smith,
MDV. Signature stamp: John Smith, MD
A. II, III, and V
B.IV
, C. II and IV
D.I, II, III, IV, and V
Give this one a try later!
B.IV B. CDPS
C. I, II, and III A. A/P: Mild CKD
Don't know?
5 of 50
Term
Which of the following regarding HEDIS is NOT true?
A. It is the acronym for Healthcare Effectiveness Data
and Information Set
B.It's developer and sponsor is the National Committee for Quality
Assurance (NCQA), a not-for-profit, non-government organization
C. It is a set of standardized performance measures designed to
assess the quality of health care and services provided by
managed care plans
D.It is a division of the Centers for Medicare and Medicaid Services
Give this one a try later!
A. Reporting a diabetic
C. I, II, and III
manifestation to increase the risk
score.
100% VERIFIED ANSWERS!!
1 of 50
Term
An AV fistula connects:
The aorta to a vein
An artery to a varicose vein
An artery to a vein
An artery to a ventricle
Give this one a try later!
D. I, II, III, and IV C. An artery to a vein
, A. A/P: Mild CKD C. C25.9, E08.641, Z79.4
Don't know?
2 of 50
Term
During a retrospective chart audit for a XYZ Medicare Advantage
Company, it is determined a diagnosis submitted is not supported by
medical record. There is no additional information to validate the
diagnosis. The member is part of a health plan that has 1,500
members and the insurance company received $350 for this
diagnosis. This HCC is chosen for a RADV audit. Using the CMS
extrapolation methodology, how much could the company have
saved if it deleted this code during the retrospective chart audit
process?
A. $1,500
B.$350
C. $525,000
D.There is not a financial penalty
Give this one a try later!
A. I and II C. E11.52, Z79.4
A. I25.10, I10 C. $525,000
Don't know?
,3 of 50
Term
Risk Adjustment is a:
A. Prospective payment system
B.Retrospective payment system
C. Fee-for-service payment system
D.Case rate payment system
Give this one a try later!
A. Prospective payment
C. Acute Respiratory Failure
system
B. E66.01, Z68.42 C. An artery to a vein
Don't know?
4 of 50
Term
Which of the following signatures is acceptable?
I. Signed but not read
II. Electronically produced: John Smith
III. Dictated but not read
IV. Electronically signed and authenticated by John Smith,
MDV. Signature stamp: John Smith, MD
A. II, III, and V
B.IV
, C. II and IV
D.I, II, III, IV, and V
Give this one a try later!
B.IV B. CDPS
C. I, II, and III A. A/P: Mild CKD
Don't know?
5 of 50
Term
Which of the following regarding HEDIS is NOT true?
A. It is the acronym for Healthcare Effectiveness Data
and Information Set
B.It's developer and sponsor is the National Committee for Quality
Assurance (NCQA), a not-for-profit, non-government organization
C. It is a set of standardized performance measures designed to
assess the quality of health care and services provided by
managed care plans
D.It is a division of the Centers for Medicare and Medicaid Services
Give this one a try later!
A. Reporting a diabetic
C. I, II, and III
manifestation to increase the risk
score.
