Cdeo study guide - Study guides, Class notes & Summaries

CDEO EXAM QUESTIONS WITH COMPLETE SOLUTION GRADED A+ 2023/2024. Congestive Heart Failure - answerA chronic condition in which the heart doesn't pump blood as well as it should. Hypertension - answerA condition in which the force of the blood against the artery walls is too high. HEDIS - answerHealthcare Effectiveness Data and Information Set HIPAA - answerHealth Insurance Portability and Accountability Act MPFS - answerMedicare National Physician Fee Schedule Multiple procedure rule - an...

CDEO Chapter 8 Study Guide with Complete Solutions PREDICTIVE MODELING - Answer️️ -is an analytical review of known data elements to establish a hypothesis related to the future health needs of patients or a population of patients Suspect Logic - Answer️️ -Many organizations utilize a method such as this one to uncover diagnoses which are likely present but unreported or unknown Chart Reviews - Answer️️ -Analysis of the information identified is used to target retrospective r...

PREDICTIVE MODELING - is an analytical review of known data elements to establish a hypothesis related to the future health needs of patients or a population of patients Suspect Logic - Many organizations utilize a method such as this one to uncover diagnoses which are likely present but unreported or unknown Chart Reviews - Analysis of the information identified is used to target retrospective reviews to capture any unreported diagnoses Suspect Logic Factors - * Known/Expected clinical...

CDEO EXAM Study Guide. HIPPA - answerHealth 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 - answerDemographic data, name, address, birth date, and SS number. central focus of clinical documentation - answershould be to demonstrate the quality of care provided to the patient with deta...

CDEO Study Guide 2022 with complete solution

CDEO STUDY GUIDE WITH COMPLETE SOLUTION ...

CDEO Chapter 7 Exam Study Guide RBRVS - answerResource-Based Relative Value Scale RBRVS System - answerEstablished by Medicare to reimburse physicians based on CPT code submitted for reimbursement RVU - answerEach CPT code has an assigned relative value unit which, when multiplied by conversion factor and a geographic region allowance , creates the reimbursement for the medical service the CPT code represents RVU Components - answer1) Physician work- time, skill, training, and intensity o...

Congestive Heart Failure - ANSWER A chronic condition in which the heart doesn't pump blood as well as it should. Hypertension - ANSWER A condition in which the force of the blood against the artery walls is too high. 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 se...