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CDEO Exam Prep Questions and Answers | 100% Pass

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CDEO Exam Prep Questions and Answers | 100% Pass What is the central focus of clinical documentation? a. Protection against mal-practice claims b. Communication to office staff and other departments about the patient's care c. To facilitate optimum patient care d. Communication to other the p...

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  • September 13, 2024
  • 111
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • CDEO
  • CDEO
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CDEO Exam Prep Questions and
Answers | 100% Pass


What is the central focus of clinical documentation?

a. Protection against mal-practice claims

b. Communication to office staff and other departments about the patient's care

c. To facilitate optimum patient care

d. Communication to other the providers and ancillary personnel concerning the patient

encounter - Answer✔️✔️-c. To facilitate optimum patient care

The central focus of all clinical documentation should be to demonstrate the quality of

care provided to the patient with detail and accuracy to facilitate optimum patient care.

The CDEO will focus his or her attention on records requested for post payment review.

a. Yes, CDEOs only review records that might be an audit concern and require

physician education.

b. Yes, CDEOs only review records for paid claims by government payers.

c. No, CDEOs do not review records unless it is requested by the compliance officier.

d. No, CDEOs review records on a proactive basis to prevent documentation

deficiencies - Answer✔️✔️-d. No, CDEOs review records on a proactive basis to prevent

documentation deficiencies

Clinical documentation improvement is a proactive measure. The CDS will develop and

monitor policies and procedures that affect the documentation process. CDI should



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, ©SOPHIABENNETT EXAM SOLUTIONS_2024/2025 Monday, September 2, 2024 12:59 PM


begin at the front end of all services and care. Prevention of documentation issues is

the key. See Page 1

The CDEO will review the findings of the auditor in order to:

a. Reprocess claims

b. Make an addendum to the medical record

c. Prevent deficient documentation

d. Know what accounts should be adjusted off - Answer✔️✔️-c. Prevent deficient

documentation

The CDEO will review the findings of the auditor to determine what should be done to

resolve documentation the issues on a proactive basis to prevent documentation and

compliance risks.

Which of the following sources other than federal healthcare plans may request the

medical records?

I. Patients

II. Providers involved with the patient's care

III. Employers for worker's compensation claims

IV. Private payers - Answer✔️✔️-I, II, III, and IV

For different reasons other than reimbursement, requests for medical records come

from different sources, for a multitude of different reasons. A few of these, other than

Federal Health Care Plans, are patients who are becoming more active in their care ,

attorneys seeking information for third party liability claims or mal-practice claims, other

providers involved in the patients' care, employers for pre-employment applications and




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, ©SOPHIABENNETT EXAM SOLUTIONS_2024/2025 Monday, September 2, 2024 12:59 PM


worker's compensation cases, private payers, recruiting offices for military applications,

and the social security administration for the patients' SSI applications.

In addition to facilitating high quality patient care, a properly documented medical record

verifies and documents precisely what services were actually provided. Other than the

site of service the medical record may be used to validate:

a. The appropriateness of the services provided

b. The patient's certificate of birth

c. The identity of the patient's extended family

d. The cost of healthcare benefits used for the year. - Answer✔️✔️-a. The

appropriateness of the services provided

In addition to facilitating high quality patient care, a properly documented medical record

verifies and documents precisely what services were actually provided. The medical

record may be used to validate: (a) The site of the service; (b) The appropriateness of

the services provided; (c) The accuracy of the billing; and (d) The identity of the

caregiver.

A provider's best defense in any legal situation is:

a. Patient records maintained for five years

b. An experienced healthcare attorney

c. Detailed, well documented notes

d. Updated computer storage systems - Answer✔️✔️-c. Detailed, well documented notes

The details in a well-documented note are a provider's best defense in any legal

situation. If the record is deficient in details, there is no "evidence" to support a

provider's testimony.


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