Question 1

Which diagnosis and treatment plan may generate a query?

Options :

A : Prostate carcinoma and luteinizing hormone-releasing hormone

B : Atrial fibrillation and amiodarone

C : Malnutrition and parenteral nutrition

D : Severe major depressive disorder and immunotherapy

Answer: D

Question 2

A provider has been determined to be a high-cost provider after a total claims cost analysis. Theproviders patient panel has an overall low HCC average score. Which of the following is the MOSTlikely explanation regarding the low HCC average score?

Options :

A : The provider cares for patients of a higher acuity

B : The provider is failing to capture all relevant diagnoses

C : The provider has a less complex patient population

D : The provider is not reporting unspecified diagnoses

Answer: B

Question 3

Documentation from which of the following facility settings contributes to the CMS-HCC risk score?

Options :

A : Freestanding ambulatory surgical center

B : Hospital ambulatory clinic

C : Hospice care

D : Renal dialysis center

Answer: B

Question 4

Which of the following is a form of a cardiac condition that may be treated with a beta-blocker?

Options :

A : Third degree heart block

B : Coronary artery disease

C : Sinus bradycardia

D : Cardiomyopathy

Answer: B

Question 5

If a patient is being seen for follow-up and the documentation indicates that the patient wasadmitted to the hospital 28 days ago with an acute cerebral infarction with remaining right-sidedweakness, which of the following diagnoses would be MOST appropriate?

Options :

A : Cerebral infarction, unspecified, hemiparesis affecting right dominant side

B : Hemiparesis following cerebral infarction affecting unspecified side

C : Hemiparesis following cerebral infarction affecting right dominant side

D : Other sequelae of cerebral infarction

Answer: C