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CDEO EXAM PRACTICE QUESTIONS AND ANSWERS | 100% PASS

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CDEO EXAM PRACTICE QUESTIONS AND ANSWERS | 100% PASS HIPPA - Answer️️ -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....

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  • September 13, 2024
  • 25
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • CDEO
  • CDEO
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, ©SOPHIABENNETT EXAM SOLUTIONS_2024/2025 Monday, September 2, 2024 12:59 PM



CDEO EXAM PRACTICE QUESTIONS
AND ANSWERS | 100% PASS


HIPPA - 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 - Answer✔️✔️-Demographic data, name,

address, birth date, and SS number.

central focus of clinical documentation - Answer✔️✔️-should be to demonstrate the

quality of care provided to the patient with detail and accuracy to facilitate optimum

patient care.

CDEO Focus - 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 - 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 - 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

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


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.

The appropriateness of the services provided - 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 - 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 - 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 - 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 - Answer✔️✔️-Quality assurance of

patient care is only evident if:

CDI Programs intent - Answer✔️✔️-CDI programs are intended to be performed on a

prospective basis to improve documentation deficiencies prior to claim submission. The
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