CDEO Exam Prep 2023 with 100% correct answers

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. 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 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 begin at the front end of all services and care. Prevention of documentation issues is the key. See Page 1 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 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. 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 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 worker's compensation cases, private payers, recruiting offices for military applications, and the social security administration for the patients' SSI applications. 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