Level 2 Competency Validation

Advanced Specialist Assessment - 85% Required to Pass

6 Advanced Patient Scenarios Testing Expert-Level Skills

Question 1 of 617% Complete

Advanced Tier Coding

Complex Stroke with Multiple Comorbidities

Patient Information:

Name: Margaret Chen

Age: 72

Admission Diagnosis: Right MCA stroke with left hemiplegia

Medical History:

Current Medications:

Functional Status: Admission FIM: Motor 28, Cognitive 24. Requires maximal assist for all ADLs.

What is the correct tier assignment for this patient?

Tier 1 (No high-impact comorbidities)

Tier 2 (2 comorbidities: diabetes with neuropathy, CKD Stage 3b)

Tier 3 (3+ comorbidities: diabetes, CKD, atrial fibrillation, obesity)

Tier 2 (Only actively treated conditions count: diabetes and CKD)

Answered: 0 of 6

Level 2 Assessment Requirements:

85% or higher score required to pass
6 advanced patient scenarios covering complex coding, FIM scoring, audit defense, and physician queries
Passing this assessment validates Advanced Specialist competency
Combined with Level 2 module completion, qualifies for Silver certification