CDEO EXAM; Questions & Answers 100%
Solved
HIPPA Correct Answer-Health Insurance Portability and Accountability Act of
1996 and the Healthcare Fraud and abuse control program. Far-reaching
program to combat fraud and abuse in healthcare including both public and
private health plans.
Ind...
CDEO EXAM; Questions & Answers 100%
Solved
HIPPA Correct Answer-Health Insurance Portability and Accountability Act of
1996 and the Healthcare Fraud and abuse control program. Far-reaching
program to combat fraud and abuse in healthcare including both public and
private health plans.
Individuals protected health information Correct Answer-Demographic data,
name, address, birth date, and SS number.
central focus of clinical documentation Correct Answer-should be to
demonstrate the quality of care provided to the patient with detail and accuracy
to facilitate optimum patient care.
CDEO Focus Correct Answer-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.
CDEO Review Correct Answer-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.
Other request than Federal Healthplans Correct Answer-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,
, CDEO EXAM; Questions & Answers 100%
Solved
recruiting offices for military applications, and the social security administration
for the patients' SSI applications.
The appropriateness of the services provided Correct Answer-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:
Medical Record Validates Correct Answer-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.
Detailed, well documented notes Correct Answer-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.
During the encounter or as soon as possible Correct Answer-To maintain an
accurate medical record, what is the recommended appropriate time for
provider documentation?
If it is documented in the patient's medical record Correct Answer-Quality
assurance of patient care is only evident if:
, CDEO EXAM; Questions & Answers 100%
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CDI Programs intent Correct Answer-CDI programs are intended to be
performed on a prospective basis to improve documentation deficiencies prior
to claim submission. The intent is to identify deficiencies and make the
appropriate corrections and prevent future deficiencies. CDI programs can also
include retrospective reviews.
It encourages physician participation. Correct Answer-Why is it important to
involve physicians in Clinical Documentation Improvement (CDI) programs?
Failure to include the instructions for post procedure care and potential
complications. Correct Answer-Which of the following documentation
deficiencies has a negative impact on patient outcomes?
Provide examples of the provider's documentation deficiencies with suggestions
for improvement. Correct Answer-What is an effective method for
communicating documentation deficiencies to a provider?
Improve patient outcomes, Improve patient outcomes, and improve the
provider query process. Correct Answer-Which of the following is/are
considered a purpose of documentation improvement programs?
How can an effective CDI program improve patient outcomes? Correct
Answer-The main goal for detailed medical records is to promote the continuity
of care for the patient. This allows providers to communicate with each other on
the care that has been provided to the patient. Coding higher level services that
are not medically necessary is not a goal to improve patient outcomes.
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