CRC EXAMINATION TEST 2026 QUESTIONS WITH ANSWERS GRADED A+

CRC EXAMINATION TEST 2026 QUESTIONS
WITH ANSWERS GRADED A+


◉ 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 reported and in risk adjustment these are prior years dos


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


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


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


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

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


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


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


◉ Prescription based program risk adjustment examples:UCSD.
Answer: Medicaid Rx(UCSD)


◉ Prescription based program risk adjustment examples(Dxcg). Answer:
RxGroups(DxCG)


◉ Prescription based program risk adjustment examples(HCC-D).
Answer: Hierarchical Condition Category, Part D(HCC-D


◉ Trump List. Answer: Families or hierarchies set a value base on
severity of illness with more severe diagnoses carrying the overall risk
score for that family.


◉ Stage 1 Pressure Ulcer. Answer: Persistent focal erythema