When CMS Looks at Recalculating the Risk Adjustment Model, It

question 30

Multiple Choice

When CMS looks at recalculating the risk adjustment model, it looks back on _________________ claims for the prior year to forecast the following year's costs.

• A) outpatient
• B) fee-for-service
• C) inpatient
• D) None of these is correct.

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Definitions:

Decedent's Estate

The real and personal property owned by an individual at the time of their death, subject to distribution among heirs and beneficiaries per the will or state law.

Final Declaration

The last official statement or summary of a legal document or proceedings, often summarizing the outcome or decisions made.

Property Disposed

The act of transferring or getting rid of property through sale, gift, or other methods.

Probate

The legal process through which a deceased person's estate is validated and administered, involving the resolution of any claims and distribution of the deceased's property under a will.