Achieving success in a physician-led ACO

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* 1. A challenge with the approach that Silver State ACO took was getting physicians who were operating on different tax ID’s numbers to move in the same direction. They were able to do so successfully by:

Using analytics to influence physician behaviors and staff workflow to better coordinate care

Controlling costs

Effectively managing specific quality improvement plans

All of the above

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* 2. The Silver State ACO ranked in the top ____% of ACO’s in 2020.

10

8

6

3

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* 3. Rhonda Hamilton, LPN, COO of Silver State ACO cautions finding a very experienced organization that understands the specific requirements for CCM so that work stands up to: ________________________________________.

a Medicare program audit.

an internal audit.

a quality improvement audit.

a comprehensive audit.

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* 4. Silver State ACO was able to improve its overall quality score each year from _in 2015 to __in 2020:

8.6% to 32.97%

41% to 50%

87.47% to 98.75%

None of the above

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* 5. The ACO pays close attention to attributed patients’________________________.

CPT codes

HCC codes

ICD-10 codes

HCPCS codes

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* 6. Between the years of 2014 to 2021, Silver State ACO grew the number of attributed lives in their participant groups from 12,198 to approximately 45,000.

True

False