Tough Topics in FQHC 5 Evaluation and CEU Request

A patient with T2DM returns for follow-up care. His A1C of 10.1% reveals blood sugars have been high over the past 3 months. When queried regarding his medication use, the patient admits to not filling his insulin prescriptions. He stated that he is in a bind financially and cannot afford his copay. He has been taking his oral medication. Food is an issue as well – options available to him are prepackaged foods that are high on sodium and carbohydrates. The provider connects the patient with Outreach and Enrollment to assist him with resources. He is diagnosed with T2DM with hyperglycemia today. Assign the appropriate ICD-10-CM code(s).

Assessment and Plan: Diabetes, Hypertension, Neuropathy, Glaucoma, Osteomyelitis. Which relationships are presumable?

During UDS reporting, a patient is noted to have a lower A1C in May than she did in November. Both are close, but only the May result is below 9.0%. What action below is appropriate?

Which of the following carries the highest Risk Adjustment Value?

What was the first code word mentioned in the on-demand session? Fill in the blank.

DSMT may be reported as a stand-alone FQHC encounter if provided in a one-on-one, face-to-face encounter and all program requirements are met.

Group DSMT is a covered benefit for an FQHC Medicare patient.

What code must be reported for an FQHC Medicare patient who receives face-to-face, individual DSMT?

While reviewing a chart with diagnosis code E11.9, the coder notices a problem list diagnosis of E11.40. The coder knows that E11.40 carries a higher risk value than E11.9 and is likely more specific to the patient’s actual presentation at the encounter. What should the coder do?

What was the final code word mentioned in the on-demand session? Fill in the blank.