CRC EXAM 2024 EXAM REVIEW SOLUTION

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

RAF - Answer-Risk Adjustment Factor Scores

Three main types of reviews - Answer-Retrospective, Concurrent and prospective

Retrospective - Answer-reviews are performed after the information has been repor...
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