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CDEO Exam 2025/2026 | 100+ Solved Questions with Answers | Clinical Documentation, Risk Adjustment, HIPAA, MIPS, CDI

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This complete exam prep guide includes over 100 accurately solved multiple-choice questions for the Certified Documentation Expert Outpatient (CDEO) exam for the 2025/2026 cycle. Developed in alignment with AAPC's credentialing standards, this document is designed to reinforce practical knowledge across key domains of clinical documentation integrity, compliance, and coding. The material offers comprehensive coverage of HIPAA privacy and security rules, documentation best practices, CDI implementation, CMS guidelines, compliant provider queries, fraud and abuse policies, and performance measurement tools such as HEDIS, MIPS, and STAR ratings. It also addresses risk adjustment models (e.g., HCC, CDPS), electronic health records, modifier use, and compliance program elements. Each question is immediately followed by the correct answer, ensuring clarity and reinforcing test-ready knowledge. Ideal for: – AAPC candidates preparing for the CDEO certification exam – Health information management (HIM) or medical billing and coding students – Clinical documentation specialists in outpatient and ambulatory settings – Healthcare compliance officers and audit professionals – University of Phoenix students in health sciences, HIT, or coding programs Keywords: CDEO 2025, clinical documentation improvement, HIPAA compliance, risk adjustment, HCC coding, CPT modifiers, ICD-10-CM, CMS guidelines, EHR documentation, MIPS, STAR ratings, HEDIS measures, AAPC certification, medical auditing, outpatient CDI

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Uploaded on
November 30, 2025
Number of pages
35
Written in
2025/2026
Type
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CDEO EXAM 2025 QUESTIONS| WITH
ALREADY SOLVED CORRECTLY
ANSWERS!! | ASSURED SUCCESS




HIPPA - 🧠 ANSWER ✔✔Health Insurance Portability and Accountability Act

of 1996 and the Healthcare Fraud and abuse control program. Far-reaching

program to combat fraud and abuse in healthcare including both public and

private health plans.


Individuals protected health information - 🧠 ANSWER ✔✔Demographic

data, name, address, birth date, and SS number.

,central focus of clinical documentation - 🧠 ANSWER ✔✔should be to

demonstrate the quality of care provided to the patient with detail and

accuracy to facilitate optimum patient care.


CDEO Focus - 🧠 ANSWER ✔✔Clinical documentation improvement is a

proactive measure. The CDS will develop and monitor policies and

procedures that affect the documentation process. CDI should begin at the

front end of all services and care. Prevention of documentation issues is

the key.


CDEO Review - 🧠 ANSWER ✔✔The CDEO will review the findings of the

auditor to determine what should be done to resolve documentation the

issues on a proactive basis to prevent documentation and compliance

risks.


Other request than Federal Healthplans - 🧠 ANSWER ✔✔For different

reasons other than reimbursement, requests for medical records come

from different sources, for a multitude of different reasons. A few of these,

other than Federal Health Care Plans, are patients who are becoming more

active in their care , attorneys seeking information for third party liability

claims or mal-practice claims, other providers involved in the patients' care,

employers for pre-employment applications and worker's compensation

,cases, private payers, recruiting offices for military applications, and the

social security administration for the patients' SSI applications.


The appropriateness of the services provided - 🧠 ANSWER ✔✔In addition

to facilitating high quality patient care, a properly documented medical

record verifies and documents precisely what services were actually

provided. Other than the site of service the medical record may be used to

validate:


Medical Record Validates - 🧠 ANSWER ✔✔In addition to facilitating high

quality patient care, a properly documented medical record verifies and

documents precisely what services were actually provided. The medical

record may be used to validate: (a) The site of the service; (b) The

appropriateness of the services provided; (c) The accuracy of the billing;

and (d) The identity of the caregiver.


Detailed, well documented notes - 🧠 ANSWER ✔✔The details in a well-

documented note are a provider's best defense in any legal situation. If the

record is deficient in details, there is no "evidence" to support a provider's

testimony.




COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
3

, During the encounter or as soon as possible - 🧠 ANSWER ✔✔To maintain

an accurate medical record, what is the recommended appropriate time for

provider documentation?


If it is documented in the patient's medical record - 🧠 ANSWER ✔✔Quality

assurance of patient care is only evident if:


CDI Programs intent - 🧠 ANSWER ✔✔CDI programs are intended to be

performed on a prospective basis to improve documentation deficiencies

prior to claim submission. The intent is to identify deficiencies and make the

appropriate corrections and prevent future deficiencies. CDI programs can

also include retrospective reviews.


It encourages physician participation. - 🧠 ANSWER ✔✔Why is it important

to involve physicians in Clinical Documentation Improvement (CDI)

programs?

Failure to include the instructions for post procedure care and potential

complications. - 🧠 ANSWER ✔✔Which of the following documentation

deficiencies has a negative impact on patient outcomes?

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