Question: 27. In a RADV, support for an ICD-10-CM code that was submitted was not found; however, documentation did support a different diagnosis code that risk-adjusted

27. In a RADV, support for an ICD-10-CM code that
27. In a RADV, support for an ICD-10-CM code that was submitted was not found; however, documentation did support a different diagnosis code that risk-adjusted to the same HCC as the first code. What is the RADV result for this finding? A. Validation . No validation c. Fine to the MAO for poor coding Fine to the physician for poor documentation D. 28. Which of the following was the first Medicare risk-adjustment plan? A Medicare Advantage B. Medicare + Choice Medicare Part D. Medicare Part D 29. Risk-adjustment rules drive MAOs to do which of the following? A. Champion improved documentation B. Correct coding previously submitted in claims C. Focus on preventive care for chronic conditions D. All of the above 30. When a record is requested from CMS for an RADV audit, a record's suitability for RADV should include all of the following except: . The correct enrollee B A valid provider type C An unabridged, stand-alone medication list D. A diagnosis that supports the HCC

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