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CRC FINAL EXAM NEWEST UPDATE COMPLETE 250 QUESTIONS AND CORRECT DETAILED ANSWERS ( ANSWERS) .
How is predictive modeling used in risk adjustment? -
ANSWER >>>>to determine suspected diagnosis based on
data elements.
Which of the following data elements are used in predictive
modeling?
I. DME claims
II. Prescription drug events
III. Physician claims data
IV. Facility claims data
a. III and IV
b. I, II, and IV
c. I, II, and III
d. I, II, III, and IV - ANSWER >>>>d. I, II, III, and IV
What might happen as a result of predictive modeling?
a. Disease management programs
b. Concurrent audits
c. Transporation benefits
d. Reduction in case management - ANSWER >>>>a.
Disease management programs
In the CMS Star Ratings program, which measure is given the
highest weight?
a. Outcomes
b. Patient experience
c. Customer service
d. Accurate RAF scores - ANSWER >>>>a. Outcomes
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