Page | 1
AAPC CRC EXAM 10 QUESTIONS
WITH ANSWERS.
Health Insurance Claim Number (Beneficiary Medicare ID#) -
correct answer -Correctly answered Correctly
answeredIncorrectly answered Incorrectly answeredMissed
correct multiple choice option Missed correct multiple choice
option
Question 1 of 10
MARx distributes the Model Output Report (MOR) to MA
sponsors at the contract level?
Correct answer: A)
You chose: A)
Correct answerA)
True
B)
False
Points: 1 out of 1
Feedback:
, Page | 2
Rationale: The MOR documents the demographics and HCCs
used to determine risk scores for each beneficiary in each model
run. Because the new risk adjustment model has a revised set of
HCCs, CMS is providing plan sponsors with an additional Part C
MOR detail record type for PY2014.
Question 2 of 10
The MOR file format changes help MA plans understand how
CMS determines risk adjustment scores?
Correct answer: A)
You chose: A)
Correct answerA)
True
B)
False
Points: 1 out of 1
Feedback:
Rationale: The MOR file format changes help MA plans
understand how CMS determines risk adjustment scores for each
beneficiary. As a result, MA plans must make appropriate
changes to properly receive the additional detail record type on
the MOR.
, Page | 3
Question 3 of 10
The only beneficiary information that can change on a monthly
basis is The Beneficiary's HICN and _____________. Please
select the correct choice below:
Correct answer: C)
You chose: C)
A)
The beneficiarie's PCP
B)
The beneficiarie's deductible
Correct answerC)
The beneficiarie's contract they are enrolled in
D)
None of the above
Points: 1 out of 1
Feedback:
Rationale: The final MOR states the final risk adjustment HCC
indicators used to determine the final risk scores for the previous
payment year. Since the MOR HCC indicators are only updated
after each model run, the demographic and disease factors
remain the same for each beneficiary on the MOR until the next
model run is performed. The only beneficiary information that
, Page | 4
V22 - correct answer -What is the new CMS-HCC RA model?
Risk Adjustment Data Validation - correct answer -What does
RADVs stand for?
Office of Inspector General - correct answer -What does OIG
stand for?
A payment arrangement for health care service providers such as
physicians or nurse practitioners. It pays a physician or group of
physicians a set amount for each enrolled person assigned to
them, per period of time, whether or not that person seeks care. -
correct answer -Define Capitation
False Claims Act - correct answer -FCA
***first-listed code for artery (i.e. basilar artery), carotid artery,
vertebral artery
AAPC CRC EXAM 10 QUESTIONS
WITH ANSWERS.
Health Insurance Claim Number (Beneficiary Medicare ID#) -
correct answer -Correctly answered Correctly
answeredIncorrectly answered Incorrectly answeredMissed
correct multiple choice option Missed correct multiple choice
option
Question 1 of 10
MARx distributes the Model Output Report (MOR) to MA
sponsors at the contract level?
Correct answer: A)
You chose: A)
Correct answerA)
True
B)
False
Points: 1 out of 1
Feedback:
, Page | 2
Rationale: The MOR documents the demographics and HCCs
used to determine risk scores for each beneficiary in each model
run. Because the new risk adjustment model has a revised set of
HCCs, CMS is providing plan sponsors with an additional Part C
MOR detail record type for PY2014.
Question 2 of 10
The MOR file format changes help MA plans understand how
CMS determines risk adjustment scores?
Correct answer: A)
You chose: A)
Correct answerA)
True
B)
False
Points: 1 out of 1
Feedback:
Rationale: The MOR file format changes help MA plans
understand how CMS determines risk adjustment scores for each
beneficiary. As a result, MA plans must make appropriate
changes to properly receive the additional detail record type on
the MOR.
, Page | 3
Question 3 of 10
The only beneficiary information that can change on a monthly
basis is The Beneficiary's HICN and _____________. Please
select the correct choice below:
Correct answer: C)
You chose: C)
A)
The beneficiarie's PCP
B)
The beneficiarie's deductible
Correct answerC)
The beneficiarie's contract they are enrolled in
D)
None of the above
Points: 1 out of 1
Feedback:
Rationale: The final MOR states the final risk adjustment HCC
indicators used to determine the final risk scores for the previous
payment year. Since the MOR HCC indicators are only updated
after each model run, the demographic and disease factors
remain the same for each beneficiary on the MOR until the next
model run is performed. The only beneficiary information that
, Page | 4
V22 - correct answer -What is the new CMS-HCC RA model?
Risk Adjustment Data Validation - correct answer -What does
RADVs stand for?
Office of Inspector General - correct answer -What does OIG
stand for?
A payment arrangement for health care service providers such as
physicians or nurse practitioners. It pays a physician or group of
physicians a set amount for each enrolled person assigned to
them, per period of time, whether or not that person seeks care. -
correct answer -Define Capitation
False Claims Act - correct answer -FCA
***first-listed code for artery (i.e. basilar artery), carotid artery,
vertebral artery
