Cdeo stuvia - Study guides, Class notes & Summaries

Suspect Logic - ANSWER-Many organizations utilize a method such as this one to uncover diagnoses which are likely present but unreported or unknown Chart Reviews - ANSWER-Analysis of the information identified is used to target retrospective reviews to capture any unreported diagnoses Suspect Logic Factors - ANSWER-* Known/Expected clinical progression of an illness or disease * DME needs * PDE * Laboratory test findings * CPT codes reported during the year in review * HCPCS codes rep...

HEDIS - ANSWER-Healthcare Effectiveness Data and Information Set HIPAA - ANSWER-Health Insurance Portability and Accountability Act MPFS - ANSWER-Medicare National Physician Fee Schedule Multiple procedure rule - ANSWER-The highest value code is paid at 100%. The second highest value code is paid at 50%. Each additional code is paid at 25%. Add on codes are exempt from the multiple procedure rule. They are paid at 100%. Bullet symbol - ANSWER-Indicates new procedures and services add...

multiplied by conversion factor and a geographic region allowance , creates the reimbursement for the medical service the CPT code represents RVU Components - ANSWER-1) Physician work- time, skill, training, and intensity of service provided 2) Practice Expense - reflects the cost of ancillary personnel, supplies, and overhead 3) Professional Liability Malpractice Insurance Using RBRVS - ANSWER-CMS annually publishes Physician Fee Schedule information on its website and posts the fo...

CDEO CPT Ch8.4 E&M Categories with Complete SolutionsCDEO CPT Ch8.4 E&M Categories with Complete SolutionsCDEO CPT Ch8.4 E&M Categories with Complete SolutionsCDEO CPT Ch8.4 E&M Categories with Complete SolutionsCDEO CPT Ch8.4 E&M Categories with Complete SolutionsList examples of E&M categories. - ANSWER-Examples of E&M categories: 1. New and established patients, 2. Consultations, 3. Initial and subsequent hospital care codes, 4. Emergency department, 5. Critical care, 6. Observation, 7. Prolo...

CDEO Ch8.62 CPT Integumentary...Skin- with Complete Solutions! CDEO Ch8.62 CPT Integumentary...Skin- with Complete Solutions! CDEO Ch8.62 CPT Integumentary...Skin- with Complete Solutions! CDEO Ch8.62 CPT Integumentary...Skin- with Complete Solutions! CDEO Ch8.62 CPT Integumentary...Skin- with Complete Solutions! CDEO Ch8.62 CPT Integumentary...Skin- with Complete Solutions! CDEO Ch8.62 CPT Integumentary...Skin- with Complete Solutions! CDEO Ch8.62 CPT Integumentary....

There are 2 minimum requirements to bill for a consultation? - ANSWER-The minimal requirements to bill for a consultation are: 1. It must be requested by a physician or other appropriate source, 2. A written consultant report to the requesting provider of his opinion and any services performed or order made. If the consulted physician takes over the care of a patient, how should he bill subsequent visits? - ANSWER-If the consulting physician takes over the care of the patient he should bill...

CDEO CPT Ch8.4 E&M Categories with Complete Solutions!CDEO CPT Ch8.4 E&M Categories with Complete Solutions!CDEO CPT Ch8.4 E&M Categories with Complete Solutions!CDEO CPT Ch8.4 E&M Categories with Complete Solutions!CDEO CPT Ch8.4 E&M Categories with Complete Solutions!CDEO CPT Ch8.4 E&M Categories with Complete Solutions!CDEO CPT Ch8.4 E&M Categories with Complete Solutions!CDEO CPT Ch8.4 E&M Categories with Complete Solutions!CDEO CPT Ch8.4 E&M Categories with Complete Solutions!

CDEO - Quality, Ch 4 Questions and Answers 100% CorrectCDEO - Quality, Ch 4 Questions and Answers 100% CorrectCDEO - Quality, Ch 4 Questions and Answers 100% CorrectCDEO - Quality, Ch 4 Questions and Answers 100% CorrectCDEO - Quality, Ch 4 Questions and Answers 100% Correct HEDIS - ANSWER-Healthcare Effectiveness Data and Information Set QBPs - ANSWER-Quality bonus payments 5 Stars - ANSWER-Excellent Performance

CDEO Ch 1 Questions and Answers 100% Correct CDEO Ch 1 Questions and Answers 100% Correct CDEO Ch 1 Questions and Answers 100% Correct CDEO Ch 1 Questions and Answers 100% Correct What is the central focus of clinical documentation? - ANSWER-To facilitate optimum patient care The CDEO will review the findings of the auditor in order to: - ANSWER-Prevent deficient documentation

The category Incision and Drainage has 2 surprises. What are these? - ANSWER-Included under the heading incision and drainage are some surprises, underlined below. 1. Incision and removal of foreign body, subcutaneous tissues, simple, 2. Puncture aspiration of abscess, hematoma, bulla, or cyst, 3. Incision and drainage of pilonidal cyst, simple, 4. Acne surgery such as marsupialization, opening or removal of multiple milia, comedones, cysts, pustules, 5. And as expected incision and drainage of...