CDEO Exam Bundle questions and answers with complete solutions

Privacy Rule - ANSWER-Protects all individually identifiable health information held or transmitted by a covered entity or business associate in any form or media whether electronic, paper, or oral. Protected Health Information - ANSWER-Includes the individual's past, present, or future physical...

multiplied by conversion factor and a geographic region allowance , creates the reimbursement for the medical service the CPT code represents RVU Components - ANSWER-1) Physician work- time, skill, training, and intensity of service provided 2) Practice Expense - reflects the cost of ancillary...

Suspect Logic - ANSWER-Many organizations utilize a method such as this one to uncover diagnoses which are likely present but unreported or unknown Chart Reviews - ANSWER-Analysis of the information identified is used to target retrospective reviews to capture any unreported diagnoses Suspect ...

5 Stars - ANSWER-Excellent Performance 4 Stars - ANSWER-Above Average Performance 3 Stars - ANSWER-Average Performance 2 Stars - ANSWER-Below Average Performance 1 Star - ANSWER-Poor Performance Month of Star Ratings Publication - ANSWER-October Number of Domains for Part C MA - AN...

Operation Restore Trust - ANSWER-3 offices were involved: OIG, Healthcare Financing Administration, AoA May 1995 Bill Clinton: 2 yr partnership of federal and state agencies, working together to protect the healthcare trust funds through shared intelligence coordinated enforcement, intended to en...

What are the three areas of the ear - ANSWER-The three areas of the ear are 1. Auricle, No. 2. Inner Ear: Tympanic cavity, and No. 3 Inner Ear: cochlea. What are the titles of the two ENT list areas listed in the CPT book ? - ANSWER-The ENT services are listed in two separate sections: 1. Auditor...

The category Incision and Drainage has 2 surprises. What are these? - ANSWER-Included under the heading incision and drainage are some surprises, underlined below. 1. Incision and removal of foreign body, subcutaneous tissues, simple, 2. Puncture aspiration of abscess, hematoma, bulla, or cyst, 3. ...

Health Insurance Portability and Accountability Act of 1996 - ANSWER-(HIPAA) August 21, 1996 - ANSWER-HIPAA was enacted on _________. Kennedy-Kassebaum - ANSWER-HIPAA aka as ______ bill, was originally enacted to provide rights and protections for participants and beneficiaries of group health...

d. No, CDEOs review records on a proactive basis to prevent documentation deficiencies 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 car...

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 - A...

HEDIS - ANSWER-Healthcare Effectiveness Data and Information Set HIPAA - ANSWER-Health Insurance Portability and Accountability Act MPFS - ANSWER-Medicare National Physician Fee Schedule Multiple procedure rule - ANSWER-The highest value code is paid at 100%. The second highest value code i...