Studied by 4 people
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which of the following represents CMS payment for outpatient services?
how many organizations participate in governance for ICD-10-PCS
4
how are APC rates set?
what are the 3 RVU associated with calculating payment
what should you consult first before coding?
CPT book, which category has E/M codes?
Category 1
NCCI associated modifier
LC
what are the NCCI edits
calculating RAF scores
HCC capture
when an individual qualifies for 2 HCCs how do you report?
convert RAF score to actual dollar amount to plan
CMS HCC is prospective in nature
uses dx from previous year to determine costs
HHS HCC
what can prevent a provider document from being used in HCC?
credentials are not documented
Note
Flashcard