Ciox Aetna 2019 Mra Hcc Guidelines

The correct answer is "E11.9 with Chronic no support found, I10,E785." This is because the patient has a history of diabetes (E11.9) and chronic conditions such as hypertension (I10) and hyperlipidemia (E78.5). The other options either do not include all of the chronic conditions or do not accurately code the note.

The correct answer is to code the condition as it is mentioned under the past medical history. This is because there is a guideline that states chronic conditions from the past medical history can be coded directly without requiring any additional support. In this case, the patient's past medical history includes conditions such as HTN, HLD, CKD, DM, GERD, OA, RA, Dementia, and Ulcer, which can all be coded as chronic conditions. There is no evidence present to indicate whether these conditions are active or not, so they should be coded based on the past medical history alone.

The statement is false because even though chronic conditions may be present under the CC, they still require MEAT/TEMPER or support in the visit to be coded correctly for submittal. Chronic conditions cannot be coded directly without any additional information or documentation.

The given statement indicates that the provider signature was electronically signed by XYZ M.D on 06-28-2019. This implies that the EMR sign issue was completed and a valid provider signature is present. Therefore, the correct answer is "Valid Provider signature ( Completed EMR sign)".

False. The correct answer is False because the given information does not provide enough evidence to support the coding of I73.9 (Peripheral vascular disease, unspecified) in this case. The assessment mentions PVD (presumably peripheral vascular disease), but the specific type or cause is not specified. Therefore, it is not valid to code I73.9 based on the given information.

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The correct answer is "All of the Above" because each option listed provides a valid reason for rejecting the coding from the Medical Record. The first option states that only a face sheet or cover sheet is present in the entire chart, which is insufficient documentation. The second option indicates that the completed notes do not have two or three key components and lack a valid SOAP note, which is also inadequate. The third option mentions that only labs or imaging reports are available, which is not comprehensive enough for proper coding. Therefore, all of these reasons justify rejecting the coding from the Medical Record.

The correct answer is "All of the Above." This means that all of the options mentioned in the question are suitable explanations for the chart rejection process. The options include missing patient second identifier in the visit, unclear mention of date of service, missing patient DOB, mismatch of patient first and last name, and multiple patient data on valid SOAP format.

The explanation for the given correct answer is that each discharge summary is coded with the D/S dos (date of service) only, indicating the specific date when the patient was discharged. On the other hand, documents in between discharge summaries are coded with the A/D (admission/discharge) and D/S date range, which includes the dates of both admission and discharge. Therefore, the statement is true as it accurately describes the coding process for discharge summaries and other documents.

The statement is false. Even if the provider does not document insulin under the medication list during the entire visit, it is still valid to code Type 1 - insulin dependent diabetes mellitus as E10.9 and Z79.4 if it is mentioned under the assessment. The lack of documentation in the medication list does not invalidate the coding.

The correct answer is I110, I509, E78.2, I2510, K21.9. This answer represents the appropriate ICD-10 codes for the patient's conditions. I110 refers to essential hypertension, I509 refers to heart failure, E78.2 refers to hyperlipidemia, I2510 refers to atherosclerotic heart disease, and K21.9 refers to gastro-esophageal reflux disease. These codes accurately reflect the patient's medical history and current conditions as described in the clinical presentation.

The correct answer is "Do not Code, Skip the condition." This is because the patient is not currently experiencing breast cancer symptoms or undergoing treatment. The assessment states that there is "No evidence for the disease present" and the plan does not mention any further treatment for breast cancer. Therefore, there is no need to code the condition at this time.

Based on the information provided, there is not enough documentation to support a valid code for this visit. The question mentions the patient's appointment for a Vitamin B injection, but there is no mention of any evaluation or management of the patient's condition. The history, physical examination, and vital signs are not recorded, which are important components for coding a visit. Additionally, there is no information about the medical necessity or reason for the injection. Without sufficient documentation, it is not valid to code this visit.

The statement is false. A BMI of 40 or more may indicate obesity, but it does not automatically mean that the "Present" under the vitals section can be coded directly without any extra support. The coding process requires additional information and documentation to accurately code the condition.

Age related cataract refers to the development of cataracts in older individuals due to the natural aging process. Diabetes mellitus (DM) is a chronic condition characterized by high blood sugar levels. Research has shown that individuals with diabetes are more likely to develop cataracts, including age related cataracts. This is because high blood sugar levels can cause changes in the lens of the eye, leading to the formation of cataracts. Therefore, age related cataract is validly linked with DM.

The statement is false because the correct name of the website is WebMD, not WebMed. Additionally, the statement suggests that Provider linkage is required for all medication of the disease condition, which is not accurate. Provider linkage may be helpful for certain medications or treatments, but it is not a requirement for all medications.

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The explanation for the given correct answer is that according to the CIOX Crosswalk list, the code I65.23 (occlusion and stenosis of carotid artery bilateral) can be directly coded from the assessment with the provider's attention. This means that the code accurately represents the condition of occlusion and stenosis of the carotid artery on both sides and can be used without any additional documentation or clarification. Therefore, the statement "True" is correct.

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