UPDATE REVIEWED CDEO CHAPTER 8 EXAM
(ACTUAL EXAM 2024-2025) QUESTIONS WITH
100% VERIFIED ANSWERS
Which of the following scenarios supports reporting 4064F-
1P? ---ANSWERS___ A patient diagnosed with MDD who
has a poor medication interaction with his medication for
HTN and antidepressants.
1P is appended when the performance measure is not met due
to medical reasons. Code 4064F is a Category II CPT® code
that identifies a patient with MMD, MDD, ADOL who is
prescribed an anti-depressant.
Clinical Improvement Activities Examples: ---ANSWERS___
1.) Care Transition Documentation Practice Improvements -
Implementation of practices/processes for acre transition that
include documentation of how a MIPS eligible clinician or
group carried out a patient-centered action plan for first 30
days following a discharge
2) Collection and Use of Patient Experience and Satisfaction
Data on Access - Collection of patient experience and
satisfaction data on access to care and development of an
improvement plan, such as outlining steps for improving
communications with patients to help understanding or urgent
access needs.
3. Engagement of New Medicaid Patients and Follow Up-
Seeing new and follow-up Medicaid patients in a timely
manner, including individuals dually eligible for Medicaid
and Medicare.
, UPDATE REVIEWED CDEO CHAPTER 8 EXAM
(ACTUAL EXAM 2024-2025) QUESTIONS WITH
100% VERIFIED ANSWERS
PREDICTIVE MODELING ---ANSWERS___ 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 ---ANSWERS___ Many organizations utilize a
method such as this one to uncover diagnoses which are likely
present but unreported or unknown
How can an independent provider report quality measures? ---
ANSWERS___ Individual EPs may choose to report quality
information through one of the following methods:
1. Medicare Part B claims
2. Qualified PQRS registry
3. Direct Electronic Health Record (EHR) using Certified
EHR Technology (CEHRT)
4. CEHRT via Data Submission Vendor
5. Qualified clinical data registry (QCDR)
, UPDATE REVIEWED CDEO CHAPTER 8 EXAM
(ACTUAL EXAM 2024-2025) QUESTIONS WITH
100% VERIFIED ANSWERS
***CMS web Interface is only available to groups of 25 or
more. ***
What is the lowest star rating a plan must achieve to avoid
penalties? ---ANSWERS___ Plans not obtaining 4 Stars or
better may be penalized.
How often are HEDIS measures revised? ---ANSWERS___
Measures are added, deleted, and revised annually.
What is the goal of HEDIS? ---ANSWERS___ HEDIS was
designed to allow consumers to compare health plan
performance to other plans and to regional or national
benchmarks.
Which of the following are domains in CMS Part C Stars
Rating? ---ANSWERS___ The CMS Stars Ratings Part C
Domains include:
• Staying Healthy
• Managing Chronic Conditions
• Member Experience with Health Plan
(ACTUAL EXAM 2024-2025) QUESTIONS WITH
100% VERIFIED ANSWERS
Which of the following scenarios supports reporting 4064F-
1P? ---ANSWERS___ A patient diagnosed with MDD who
has a poor medication interaction with his medication for
HTN and antidepressants.
1P is appended when the performance measure is not met due
to medical reasons. Code 4064F is a Category II CPT® code
that identifies a patient with MMD, MDD, ADOL who is
prescribed an anti-depressant.
Clinical Improvement Activities Examples: ---ANSWERS___
1.) Care Transition Documentation Practice Improvements -
Implementation of practices/processes for acre transition that
include documentation of how a MIPS eligible clinician or
group carried out a patient-centered action plan for first 30
days following a discharge
2) Collection and Use of Patient Experience and Satisfaction
Data on Access - Collection of patient experience and
satisfaction data on access to care and development of an
improvement plan, such as outlining steps for improving
communications with patients to help understanding or urgent
access needs.
3. Engagement of New Medicaid Patients and Follow Up-
Seeing new and follow-up Medicaid patients in a timely
manner, including individuals dually eligible for Medicaid
and Medicare.
, UPDATE REVIEWED CDEO CHAPTER 8 EXAM
(ACTUAL EXAM 2024-2025) QUESTIONS WITH
100% VERIFIED ANSWERS
PREDICTIVE MODELING ---ANSWERS___ 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 ---ANSWERS___ Many organizations utilize a
method such as this one to uncover diagnoses which are likely
present but unreported or unknown
How can an independent provider report quality measures? ---
ANSWERS___ Individual EPs may choose to report quality
information through one of the following methods:
1. Medicare Part B claims
2. Qualified PQRS registry
3. Direct Electronic Health Record (EHR) using Certified
EHR Technology (CEHRT)
4. CEHRT via Data Submission Vendor
5. Qualified clinical data registry (QCDR)
, UPDATE REVIEWED CDEO CHAPTER 8 EXAM
(ACTUAL EXAM 2024-2025) QUESTIONS WITH
100% VERIFIED ANSWERS
***CMS web Interface is only available to groups of 25 or
more. ***
What is the lowest star rating a plan must achieve to avoid
penalties? ---ANSWERS___ Plans not obtaining 4 Stars or
better may be penalized.
How often are HEDIS measures revised? ---ANSWERS___
Measures are added, deleted, and revised annually.
What is the goal of HEDIS? ---ANSWERS___ HEDIS was
designed to allow consumers to compare health plan
performance to other plans and to regional or national
benchmarks.
Which of the following are domains in CMS Part C Stars
Rating? ---ANSWERS___ The CMS Stars Ratings Part C
Domains include:
• Staying Healthy
• Managing Chronic Conditions
• Member Experience with Health Plan
