Clinical Documentation Improvement 2020 Post Test – TNAFP

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Question 1 of 10

1. Question
Which risk score indicates a person with the greatest chronic disease burden?
- HCC 0.63
- HCC 0.88
- HCC 1.20
- HCC 2.01
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Question 2 of 10

2. Question
The following are all calculated using a risk-adjusted formula for CMS except
- Per capita costs for Medicare patients with specific conditions like Diabetes, COPD, CAD and CHF
- Medicare Spending Per Beneficiary (MSPB)
- All-cause hospital readmission
- All are risk-adjusted
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Question 3 of 10

3. Question
Which of the following about the HCC score is false?
- For unrelated diseases (heart failure and cancer, for example), the HCC risk score is additive
- Each time the same condition is managed in a calendar year, the HCC score increases accordingly
- Patients with higher risk scores are assumed to need more resources to manage their care (i.e., higher cost)
- Each condition a patient has must be assessed in a face-to-face encounter, appropriately documented, and noted on a claim (“billed”) at least once a year to optimally assess their clinical state of health
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Question 4 of 10

4. Question
The BMI that has HCC associated risk attached is
- BMI 23
- BMI 33
- BMI 41
- None of the above
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Question 5 of 10

5. Question
The condition without HCC risk associated with it is
- Chronic Kidney Disease, Stage II
- Chronic Kidney Disease, Stage III
- Chronic Kidney Disease, Stage IV
- Chronic Kidney Disease, Stage V
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Question 6 of 10

6. Question
False statements about Diabetes and risk include
- Insulin use (Z79.4) is associated with an HCC risk score
- Over half of diabetics have complications and if coded correctly, will exhibit a higher risk score than routine diabetics
- Diabetics with complications have a risk score nearly 3x higher than diabetics without complications
- The use of triple oral antidiabetic drug therapy alone is associated with an increased risk score
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Question 7 of 10

7. Question
Even though all of the following conditions may be present in the care of a hospitalized patient, which condition is the most important to have documented on the discharge summary?
- Hepatitis
- Hepatitis C
- Hepatitis C Cirrhosis
- End Stage Liver Disease
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Question 8 of 10

8. Question
Which would impact the MS-DRG revenue the most on a hospital stay?
- Adding as many diagnoses to the discharge summary as possible
- Appropriately documenting the major comorbidities (MCCs) present that were impacting the clinical condition during the stay
- Making sure the length of stay (LOS) is over 4 for all hospital stays
- Making sure that the screening mammogram scheduled for next week gets done while in the hospital for an inpatient stay
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Question 9 of 10

9. Question
Documenting so that the most appropriate DRG for a hospital stay can be captured is best done by
- Copy/pasting of notes and bringing the information forward each day to have a long “bloated” note
- Linking the diagnosis with “caused by”, “due to”, or “resulting in” to show causation
- Ordering more tests, just to “make sure”, even when a condition is clearly understood and appropriately being managed
- Ordering another screening test to save the patient a trip back to the outpatient department next week
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Question 10 of 10

10. Question
Which of the following is NOT a Major comorbidity (MCC) of a hospitalized condition?
- Toxic encephalopathy
- Acute systolic HF
- TIA
- Acute on chronic resp fail
Correct

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Clinical Documentation Improvement 2020 Post Test – TNAFP

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