CCDSO Practice Exam

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