CDEO - Chapter 1, Purpose of Clinical
Documentation Improvement exam with
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What |is |the |primary |difference |between |a |CDEO |and |a |CPMA? |- |✔✔💯CDEO |is |PROACTIVE, |rather |
than |reactive |(like |an |auditor).
What |is |the |question |the |CDI |process |continually |seeks |to |answer? |- |✔✔💯How |best |can |we |
maximize |the |integrity |of |the |medical |record?
What |is |the |goal |of |CDI? |- |✔✔💯To |provide |a |complete |and |accurate |picture |of |a |patient's |medical |
condition(s) |and |the |care |received. |(Tell |the |complete |and |accurate |story |of |a |patient's...)
What |are |the |coding |and |billing |risk |areas |for |physician |practices? |- |✔✔💯-billing |for |services |not |
rendered
-double |billing
-submitting |claims |that |aren't |reasonable |& |necessary
-billing |for |non-covered |services
-knowing |misuse |of |NPI
-unbundling
-failure |to |properly |use |modifiers
-upcoding |the |level |of |service
Over-documentation |- |✔✔💯Services |coded |based |on |the |VOLUME |of |documentation |rather |than |
MEDICAL |NECESSITY
CDI |is |retrospective |or |prospective? |- |✔✔💯Prospective |(proactive; |looking |to |the |future)
Is |over |documentation |an |advantage |or |disadvantage |of |the |EHR |system? |- |✔✔💯Disadvantage. |
Volume |of |documentation |does |mean |the |medical |necessity |standard |has |been |met.
Compliance |is |achieved |in |medical |record |entries |through |the |use |of |what? |- |✔✔💯Internal |
documentation |guidelines
Which |facility |type |must |have |a |compliant |plan |of |care |from |the |ordering |provider? |- |✔✔💯Home |
healthcare |entities
What |is |the |overarching |objective |of |CDI? |- |✔✔💯Patient |care
Documentation Improvement exam with
correct answers
Save
What |is |the |primary |difference |between |a |CDEO |and |a |CPMA? |- |✔✔💯CDEO |is |PROACTIVE, |rather |
than |reactive |(like |an |auditor).
What |is |the |question |the |CDI |process |continually |seeks |to |answer? |- |✔✔💯How |best |can |we |
maximize |the |integrity |of |the |medical |record?
What |is |the |goal |of |CDI? |- |✔✔💯To |provide |a |complete |and |accurate |picture |of |a |patient's |medical |
condition(s) |and |the |care |received. |(Tell |the |complete |and |accurate |story |of |a |patient's...)
What |are |the |coding |and |billing |risk |areas |for |physician |practices? |- |✔✔💯-billing |for |services |not |
rendered
-double |billing
-submitting |claims |that |aren't |reasonable |& |necessary
-billing |for |non-covered |services
-knowing |misuse |of |NPI
-unbundling
-failure |to |properly |use |modifiers
-upcoding |the |level |of |service
Over-documentation |- |✔✔💯Services |coded |based |on |the |VOLUME |of |documentation |rather |than |
MEDICAL |NECESSITY
CDI |is |retrospective |or |prospective? |- |✔✔💯Prospective |(proactive; |looking |to |the |future)
Is |over |documentation |an |advantage |or |disadvantage |of |the |EHR |system? |- |✔✔💯Disadvantage. |
Volume |of |documentation |does |mean |the |medical |necessity |standard |has |been |met.
Compliance |is |achieved |in |medical |record |entries |through |the |use |of |what? |- |✔✔💯Internal |
documentation |guidelines
Which |facility |type |must |have |a |compliant |plan |of |care |from |the |ordering |provider? |- |✔✔💯Home |
healthcare |entities
What |is |the |overarching |objective |of |CDI? |- |✔✔💯Patient |care
