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CRC Exam Questions and Answers 100% Pass
CRC Exam Questions and Answers 100% Pass 
How is predictive modeling used in risk adjustment? - Correct 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 - Correct Answer ️️ -d. I, II, III, and IV 
What might happen as a result ...
- Exam (elaborations)
- • 73 pages •
CRC Exam Questions and Answers 100% Pass 
How is predictive modeling used in risk adjustment? - Correct 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 - Correct Answer ️️ -d. I, II, III, and IV 
What might happen as a result ...
CRC practice questions 100% Correct Answers
n employment by federal agencies of the executive branch 
of government. - Correct Answer ️️ -Section 501 
Which of the following is an occasion when he rehabilitation counselor should breach 
confidentiality - Correct Answer ️️ -when it is clear that a third party will be severely 
injured by the client 
The thrust of the Randolph-Sheppard Act of 1936 - Correct Answer ️️ -enable 
individuals with blindness to operate vending machines on federal property 
Refers to the framework of i...
- Exam (elaborations)
- • 19 pages •
n employment by federal agencies of the executive branch 
of government. - Correct Answer ️️ -Section 501 
Which of the following is an occasion when he rehabilitation counselor should breach 
confidentiality - Correct Answer ️️ -when it is clear that a third party will be severely 
injured by the client 
The thrust of the Randolph-Sheppard Act of 1936 - Correct Answer ️️ -enable 
individuals with blindness to operate vending machines on federal property 
Refers to the framework of i...
CRC EXAM QUESTIONS AND ANSWERS 100% PASS
CRC EXAM QUESTIONS AND ANSWERS 100% PASS 
Risk Adjustment Data Element - Correct Answer ️️ -Age, Gende, Socioeconomic 
status, Disability status, Insurance status(Medicaid, dual-eligible,) Claims data elements 
such as procedure codes, place of service codes, special patient-specific conditions 
hospice, ESRD 
RAF - Correct Answer ️️ -Risk Adjustment Factor Scores 
Three main types of reviews - Correct Answer ️️ -Retrospective, Concurrent and 
prospective 
Retrospective - Correct Ans...
- Exam (elaborations)
- • 8 pages •
CRC EXAM QUESTIONS AND ANSWERS 100% PASS 
Risk Adjustment Data Element - Correct Answer ️️ -Age, Gende, Socioeconomic 
status, Disability status, Insurance status(Medicaid, dual-eligible,) Claims data elements 
such as procedure codes, place of service codes, special patient-specific conditions 
hospice, ESRD 
RAF - Correct Answer ️️ -Risk Adjustment Factor Scores 
Three main types of reviews - Correct Answer ️️ -Retrospective, Concurrent and 
prospective 
Retrospective - Correct Ans...
CRC Exam Chapter 1 Questions and Answers 100% Pass
CRC Exam Chapter 1 Questions and 
Answers 100% Pass 
Who are covered entities according to HIPAA? - Correct Answer ️️ -Health Care 
Providers 
Health Plans 
Health Care Clearinghouses 
Risk Adjustment Coders should have knowledge in? - Correct Answer ️️ -The use of 
medications, treatments of the patient, and diagnostic testing. 
What document assists provider offices with the development of Compliance Manuals? 
- Correct Answer ️️ -OIG Compliance Plan Guidance 
Under HIPAA, what wou...
- Exam (elaborations)
- • 5 pages •
CRC Exam Chapter 1 Questions and 
Answers 100% Pass 
Who are covered entities according to HIPAA? - Correct Answer ️️ -Health Care 
Providers 
Health Plans 
Health Care Clearinghouses 
Risk Adjustment Coders should have knowledge in? - Correct Answer ️️ -The use of 
medications, treatments of the patient, and diagnostic testing. 
What document assists provider offices with the development of Compliance Manuals? 
- Correct Answer ️️ -OIG Compliance Plan Guidance 
Under HIPAA, what wou...
INSY-3303 FINAL EXAM STUDY GUIDE WITH COMPLETE SOLUTIONS
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