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CDEO - CHAPTER 1, PURPOSE OF CLINICAL DOCUMENTATION IMPROVEMENT EXAM QUESTIONS AND ANSWERS

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CDEO - CHAPTER 1, PURPOSE OF CLINICAL DOCUMENTATION IMPROVEMENT EXAM QUESTIONS AND ANSWERS

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CDEO - CHAPTER 1, PURPOSE OF
CLINICAL DOCUMENTATION
IMPROVEMENT



What is the primary difference between a CDEO and a CPMA? - Correct Answers -
CDEO is PROACTIVE, rather than reactive (like an auditor).

What is the question the CDI process continually seeks to answer? - Correct Answers -
How best can we maximize the integrity of the medical record?

What is the goal of CDI? - Correct Answers -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 is the overarching objective of CDI? - Correct Answers -Patient care

Which facility type must update the patient care plan every 90 days for Medicare
patients? - Correct Answers -Comprehensive outpatient rehabilitation centers

What is the provider's best defense in a legal situation? - Correct Answers -A well-
dcoumented note

What are the coding and billing risk areas for physician practices? - Correct Answers --
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 - Correct Answers -Services coded based on the VOLUME of
documentation rather than MEDICAL NECESSITY

CDI is retrospective or prospective? - Correct Answers -Prospective (proactive; looking
to the future)

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