CDEO Chapter 8 exam 2023 with verified solutions

PREDICTIVE MODELING correct answersis 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 correct answersMany organizations utilize a method such as this one to uncover diagnoses which are likely present but unreported or unknown Chart Reviews correct answersAnalysis of the information identified is used to target retrospective reviews to capture any unreported diagnoses Suspect Logic Factors correct answers* 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 reported during the year in review * Socioeconomic status * Disability: Hospice: ESRD and other such statuses of the patient being reviewed Quality of Care correct answersQuality Measures Star Ratings HEDIS correct answersHealthcare Effectiveness Data and Information Set CMS Stars Ratings correct answers QBPs correct answersQuality Bonus Payments