CDEO ASSESSMENT GUIDE 2025
|MOST COMMON QUESTIONS WITH CORRECTLY
VERIFIED ANSWERS (the recent quizes)|ALREADY
A+ GRADED|GUARANTEED PASS
The best approach when querying a physician regarding documentation is to approach the
problem as one of:
I. Evidence based medicine
II. Financial motive
III. Malpractice liability
IV. Documentation impact on reimbursement
V. Documentation impact on compliance
A. ll, IV, and V
B. I, II, III, IV, and V
C. I, II, and IV
D. IV and V - Depending on the documentation issue, any of these responses might be
appropriate. Failing to address flaws in documentation can result in medical errors, financial
losses and diminished patient care.
Clinical Documentation Improvement (CDI) programs can help:
I. Build effective documentation compliance policies
II. Capture clinical data required for continuity of care
III. Promote failures identified in documentation review
A. I and III
,B. I, II and III
C. II and III
D. I and II - I and II
I. Build effective documentation compliance policies
II. Capture clinical data required for continuity of care
An effective CDI program never emphasizes failures; it promotes continuity of care and
development of effective CDI policies.
Question 2
Which of the following documentation deficiencies have a negative impact on patient
outcomes?
A. Failure to indicate the patient's insurance information.
B. Failure to include the complications of drug for prescriptions taken by a patient.
C. Failure to sign the patient's documented review of systems when obtaining a history.
D. Failure to report the patient's employment in the social history. - B. Failure to include
the complications of drug for prescriptions taken by a patient.
All answer options are documentation deficiencies. The only deficiency that would affect the
care of the patient is failure to communicate drug interactions that could harm a patient caused
by prescription drugs they are given.
Question 4
A physician who specializes in elder care undergoes a CDI audit. Fifteen charts are found with
the diagnosis of marasmus. Your correct response:
A. Congratulate the physician for correctly capturing an often-overlooked malnutrition
diagnosis.
B. Display in your query the Index entry for marasmus and the codes and descriptions for E41
and R54. Ask for guidance on which to report.
C. Report code E41
D. Report code R54 - B. Display in your query the Index entry for marasmus and the codes
and descriptions for E41 and R54. Ask for guidance on which to report.
,The provider did not link the age of the patient to the marasmus, so we cannot report R54. E41
describes a form of marasmus usually associated with children who are protein deficient.
Because of the ambiguity of the diagnosis, you would not select A. The correct answer is B, to
provide the Index entries for the provider to view, so that he might choose the code he
intended.
Question 5
The best approach when querying a physician regarding documentation is to approach the
problem as one of:
I. Evidence based medicine
II. Financial motive
III. Malpractice liability
IV. Documentation impact on reimbursement
V. Documentation impact on compliance
A. ll, IV, and V
B. I, II, III, IV, and V
C. I, II, and IV
D. IV and V - B. I, II, III, IV, and V
Depending on the documentation issue, any of these responses might be appropriate. Failing to
address flaws in documentation can result in medical errors, financial losses and diminished
patient care.
Question 6
According to documentation, A 34-week gestation patient with diabetes delivers twins. Fetus A
was delivered without complication, with APGARs of 8 and 8. Fetus B's delivery was complicated
by a knot in the umbilical cord, and his APGARs were 3 and 5. Which query is appropriate?
A. For ICD-10 coding purposes, is Fetus A the same as Fetus 1, and Fetus B the same as Fetus 2?
, B. What type of diabetes did the patient have?
C. Was the knotted cord in Fetus B compressed?
D. Does a delivery at 34 weeks indicate prematurity in fetus A and B? - B. What type of
diabetes did the patient have?
The correct answer is B, "What type of diabetes did the patient have?" This is pertinent because
gestational, type 1 and type 2 diabetes are mutually exclusive. There is a default for unspecified
diabetes in pregnancy, but of the four answers, this is the only question worthy of asking.
Answer A is incorrect because the identification of each fetus in a multiple birth may be
documented in many ways, but in ICD-10 we apply corresponding numbers to each fetus. This is
clear in the notes with the code. C is incorrect because a knot in the umbilical cord indicates a
compression. This is clear in the inclusion notes under O69.2 Labor and delivery complicated by
other cord entanglement, with compression. The inclusion term reads, "Labor and delivery
complicated by knot in cord." D is incorrect because the Includes note under O60 defines
preterm labor as onset (spontaneous) of labor before 37 completed weeks of gestation." No
query is necessary.
Question 7
The provider states that the patient is hypertensive and is interested in beginning a diet. He
discusses weight loss strategies, but does not document that the patient is overweight, obese or
morbidly obese. BMI documented in the vitals is 42, blood pressure 145/82. The patient
receives a prescription for amlodipine. You:
A. Report the BMI, obesity and the hypertension codes because the provider did not document
morbid obesity but did discuss weight loss.
B. Report BMI, hypertension and morbid obesity because a 42 BMI translates to morbid obesity.
C. Code only the hypertension code.
D. Query the provider, asking if there is a diagnosis to go with the weight loss strategy
counseling that was performed. - D. Query the provider, asking if there is a diagnosis to
go with the weight loss strategy counseling that was performed..
|MOST COMMON QUESTIONS WITH CORRECTLY
VERIFIED ANSWERS (the recent quizes)|ALREADY
A+ GRADED|GUARANTEED PASS
The best approach when querying a physician regarding documentation is to approach the
problem as one of:
I. Evidence based medicine
II. Financial motive
III. Malpractice liability
IV. Documentation impact on reimbursement
V. Documentation impact on compliance
A. ll, IV, and V
B. I, II, III, IV, and V
C. I, II, and IV
D. IV and V - Depending on the documentation issue, any of these responses might be
appropriate. Failing to address flaws in documentation can result in medical errors, financial
losses and diminished patient care.
Clinical Documentation Improvement (CDI) programs can help:
I. Build effective documentation compliance policies
II. Capture clinical data required for continuity of care
III. Promote failures identified in documentation review
A. I and III
,B. I, II and III
C. II and III
D. I and II - I and II
I. Build effective documentation compliance policies
II. Capture clinical data required for continuity of care
An effective CDI program never emphasizes failures; it promotes continuity of care and
development of effective CDI policies.
Question 2
Which of the following documentation deficiencies have a negative impact on patient
outcomes?
A. Failure to indicate the patient's insurance information.
B. Failure to include the complications of drug for prescriptions taken by a patient.
C. Failure to sign the patient's documented review of systems when obtaining a history.
D. Failure to report the patient's employment in the social history. - B. Failure to include
the complications of drug for prescriptions taken by a patient.
All answer options are documentation deficiencies. The only deficiency that would affect the
care of the patient is failure to communicate drug interactions that could harm a patient caused
by prescription drugs they are given.
Question 4
A physician who specializes in elder care undergoes a CDI audit. Fifteen charts are found with
the diagnosis of marasmus. Your correct response:
A. Congratulate the physician for correctly capturing an often-overlooked malnutrition
diagnosis.
B. Display in your query the Index entry for marasmus and the codes and descriptions for E41
and R54. Ask for guidance on which to report.
C. Report code E41
D. Report code R54 - B. Display in your query the Index entry for marasmus and the codes
and descriptions for E41 and R54. Ask for guidance on which to report.
,The provider did not link the age of the patient to the marasmus, so we cannot report R54. E41
describes a form of marasmus usually associated with children who are protein deficient.
Because of the ambiguity of the diagnosis, you would not select A. The correct answer is B, to
provide the Index entries for the provider to view, so that he might choose the code he
intended.
Question 5
The best approach when querying a physician regarding documentation is to approach the
problem as one of:
I. Evidence based medicine
II. Financial motive
III. Malpractice liability
IV. Documentation impact on reimbursement
V. Documentation impact on compliance
A. ll, IV, and V
B. I, II, III, IV, and V
C. I, II, and IV
D. IV and V - B. I, II, III, IV, and V
Depending on the documentation issue, any of these responses might be appropriate. Failing to
address flaws in documentation can result in medical errors, financial losses and diminished
patient care.
Question 6
According to documentation, A 34-week gestation patient with diabetes delivers twins. Fetus A
was delivered without complication, with APGARs of 8 and 8. Fetus B's delivery was complicated
by a knot in the umbilical cord, and his APGARs were 3 and 5. Which query is appropriate?
A. For ICD-10 coding purposes, is Fetus A the same as Fetus 1, and Fetus B the same as Fetus 2?
, B. What type of diabetes did the patient have?
C. Was the knotted cord in Fetus B compressed?
D. Does a delivery at 34 weeks indicate prematurity in fetus A and B? - B. What type of
diabetes did the patient have?
The correct answer is B, "What type of diabetes did the patient have?" This is pertinent because
gestational, type 1 and type 2 diabetes are mutually exclusive. There is a default for unspecified
diabetes in pregnancy, but of the four answers, this is the only question worthy of asking.
Answer A is incorrect because the identification of each fetus in a multiple birth may be
documented in many ways, but in ICD-10 we apply corresponding numbers to each fetus. This is
clear in the notes with the code. C is incorrect because a knot in the umbilical cord indicates a
compression. This is clear in the inclusion notes under O69.2 Labor and delivery complicated by
other cord entanglement, with compression. The inclusion term reads, "Labor and delivery
complicated by knot in cord." D is incorrect because the Includes note under O60 defines
preterm labor as onset (spontaneous) of labor before 37 completed weeks of gestation." No
query is necessary.
Question 7
The provider states that the patient is hypertensive and is interested in beginning a diet. He
discusses weight loss strategies, but does not document that the patient is overweight, obese or
morbidly obese. BMI documented in the vitals is 42, blood pressure 145/82. The patient
receives a prescription for amlodipine. You:
A. Report the BMI, obesity and the hypertension codes because the provider did not document
morbid obesity but did discuss weight loss.
B. Report BMI, hypertension and morbid obesity because a 42 BMI translates to morbid obesity.
C. Code only the hypertension code.
D. Query the provider, asking if there is a diagnosis to go with the weight loss strategy
counseling that was performed. - D. Query the provider, asking if there is a diagnosis to
go with the weight loss strategy counseling that was performed..
