CDEO BUNDLED EXAMS 2023 WITH 100% CORRECT ANSWERS

HIPPA correct answersHealth 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 correct answer...

Congestive Heart Failure correct answersA chronic condition in which the heart doesn't pump blood as well as it should. Hypertension correct answersA condition in which the force of the blood against the artery walls is too high. HEDIS correct answersHealthcare Effectiveness Data and Informat...

What is the central focus of clinical documentation? correct answersTo facilitate optimum patient care The CDEO will review the findings of the auditor in order to: correct answersPrevent deficient documentation Which sources other than federal healthcare plans may request the medical records?...

PREDICTIVE MODELING correct answersis 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 correct answersMany organizations utilize a method such as this one to uncover diagnoses which are l...

RBRVS correct answersResource-Based Relative Value Scale RBRVS System correct answersEstablished by Medicare to reimburse physicians based on CPT code submitted for reimbursement RVU correct answersEach CPT code has an assigned relative value unit which, when multiplied by conversion factor an...

Documentation states that the patient had a "Status post hysterectomy. The patient presents with a fever." Which of the following would be a compliant question to query? correct answersDo you know the cause of the fever? Operation Restore Trust correct answers3 offices were involved: OIG, Healt...

HEDIS - Healthcare Effectiveness Data and Information Set QBPs - Quality bonus payments 5 Stars - Excellent Performance 4 Stars - Above Average Performance 3 Stars - Average Performance 2 Stars - Below Average Performance 1 Star - Poor Performance Month of Star Ratings Publicati...

Local Coverage Determinations are administered by whom? a. State Law b. NCDs c. Each regional MAC d. LMRPs correct answersc. Each regional MAC ABN stands for _____. a. Advanced Benefits Notification b. Advisory Beneficial Notice c. Admitting Beneficiary Notice d. Advance Beneficia...

A code that has all of the words that describe the code that follows is what type of code? correct answersStand alone Procedures that are experimental, newly approved, or seldom used are reported with what type of code? correct answersUnlisted/Category III (with a special report) Who requires ...

Many coding professionals go on to find work as: correct answersConsultant A medical record contains information on all but what areas? correct answersFinancial records Technicians who specialize in coding are called: correct answersCoding specialists EHR stands for: correct answersElectron...