Which of the following regarding HEDIS is NOT true?

In order to avoid risk adjustment coding errors, a coder must be aware of Disease Hierarchies within the HCC categories. Which of the following sentences best describes what a Disease Hierarchy is?

What is predictive modeling?

A 77 year-old male presents for follow up with his primary care provider. The provider documents a healed pressure ulcer of the right heel and hypertension. The Assessment and Plan is: A/P healed pressure ulcer of right heel, no further treatment and hypertension.

In order for a coder to properly code for a vascular ulcer, which of the following must be included by the treating provider in the documentation?

A 65 year-old male patient was admitted with ascending cellulitis and infection of a 2nd, 3rd, and 4th toes amputation site. What are the appropriate diagnosis codes for this?

Which cells produce hormones to regulate blood sugar?

What does the abbreviation EDS indicate?

A 65 year-old male presents to the office with history of ongoing diabetes which has been controlled with insulin for follow­up exam with his family practice physician, during this encounter the physician notes a chronic diabetic wound of his right greater toe and determines gangrene has set in. After examination and testing the family practice physician recommends the gentleman to be seen by a general surgeon for treatment of his gangrene of his right great toe. What are the correct diagnoses to report for this encounter?

A 32 year-old patient suffered a crush and avulsion type injury which had resulted in loss of the fourth and fifth digits at the metacarpophalangeal joint levels, loss of the index and long fingers through the proximal phalanx proximal aspect and soft tissue loss dorsally over the left hand.