Blog

Predictive models are used to identify people who are at high risk of chronic illnesses having higher medical claims; what can a provider do with this information to decrease the medical costs? I. Develop disease management education programs II. Involve clinical staff to help with coordination of care III. Refer the patients with chronic illnesses to be treated by another provider IV. Determine the return on investment when referring to a specialist for chronic illnesses

Name the part indicated by the Black arrow  

Which of the following general statements is NOT TRUE regarding Risk Adjustment practices and Quality? 

Today a 54-year-old man presents for his routine follow up after renal transplant two years ago. The patient has CKD stage 2 and reports no other complaints. Assign the correct ICD-10-CM code(s).

Name the part indicated by the blue square

Data mining is performed to:

What is shown in the image?

Diagnoses must be based on face-to face encounters between members and an MD, PA, or NP and status conditions like a below knee amputation, must be assessed and documented in order for payment adjustments to be received. How often should a provider see and assess a patient in a calendar year to validate amputation status?

Slide 4: What would be the best title for this slide?  

How many stigma can be seen in the image?