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ANESTHESIA: General. PREOPERATIVE DIAGNOSIS: Diabetic ulcer right upper thigh with exposed fat layer. POSTOPERATIVE DIAGNOSIS: Diabetic ulcer right upper thigh with exposed fat layer. PROCEDURE: Debridement of ulcer, right upper thigh. INDICATIONS: This 76 year-old female has developed an ulcer on the upper right thigh. She is here for debridement. The patient has a current history of type 2 diabetes and hypertension. DESCRIPTION OF PROCEDURE: Under general laryngeal mask anesthesia, the patient was placed in left lateral decubitus position and the right lateral thigh and hip was appropriately prepped and draped. Sharp Mayo scissor dissection was used to debride skin, subcutaneous tissue and excise the edges of the wound down to the tensor fascia. Some undermining with fat necrosis was also debrided. It was covered with gauze and a dressing. She tolerated the procedure well. Select the diagnosis code(s).

Identify the flower part marked “C”

A 66 year-old male patient with AIDS presents with new onset of shortness of breath. Tests confirm the patient has pneumocystis carinii pneumonia. Select the appropriate diagnosis code(s).

Using the information provided below, which statement is TRUE: HCC Question Practice test #1.png  

Which risk adjustment model is used by Medicaid programs?

Retrospective audits should include the following attributes: I. Provider signatures II. Supporting documentation of the patient’s diagnoses III. DOS

Which of the following are reported by a provider for beneficiaries in a Medicare Advantage Plan?  I. Nature of the presenting problem II. Resolved conditions that have been treated in the past III. Family history for all conditions IV. All chronic conditions

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?