Cdeo stuvia - Study guides, Class notes & Summaries

CDEO Chapter 8 Questions and Answers (Graded A) CDEO Chapter 8 Questions and Answers (Graded A) CDEO Chapter 8 Questions and Answers (Graded A) PREDICTIVE MODELING - ANSWER-is 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 - ANSWER-Many organizations utilize a method such as this one to uncover diagnoses which are likely present but unreported or unknown Chart Reviews - AN...

CDEO Study Guide with Complete SolutionsCDEO Study Guide with Complete SolutionsCDEO Study Guide with Complete SolutionsCDEO Study Guide with Complete SolutionsCDEO Study Guide with Complete SolutionsCDEO Study Guide with Complete Solutions Congestive Heart Failure - ANSWER-A chronic condition in which the heart doesn't pump blood as well as it should. Hypertension - ANSWER-A condition in which the force of the blood against the artery walls is too high. HEDIS - ANSWER-Healthcare...

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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...

HEDIS - ANSWER-Healthcare Effectiveness Data and Information Set QBPs - ANSWER-Quality bonus payments 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

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CDEO Chapter 7 Questions and Answers 100% CorrectCDEO Chapter 7 Questions and Answers 100% CorrectCDEO Chapter 7 Questions and Answers 100% CorrectCDEO Chapter 7 Questions and Answers 100% Correct RBRVS - ANSWER-Resource-Based Relative Value Scale RBRVS System - ANSWER-Established by Medicare to reimburse physicians based on CPT code submitted for reimbursement RVU - ANSWER-Each CPT code has an assigned relative value unit which, when multiplied by conversion factor and a geographic regio...

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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 enhance quality of care for program's beneficiaries. Program is not called Senior Medicare Patrol SMP They work to combat fraud and abuse. SMP - ANSWER-Senior Medicare Patrol OIG - ANSWER-...