Certified Documentation Expert in Outpatient (CDEO)

The CDEO credential confirms skill in examining outpatient paperwork for correctness to satisfy coding, quality metrics, and clinical criteria. CDEO professionals provide feedback to clinicians in order to improve clinical documentation and to promote continual documentation improvement in order to meet all medical record requirements. Documentation experts must demonstrate understanding of pathophysiology, coding and billing requirements, and quality measures in order to become a CDEO.

All electronic clinical documentation in the hospital is managed by a clinical documentation specialist. Create CPSI forms and processes based on evidence-based best practices. Manage CPSI updates and test processes before deploying to the live server. Create and run reports from the EMR. Examine the contemporary medical record for compliance, including completeness and accuracy, as well as the severity of illness (SOI) and overall quality. They complete an accurate and timely record review to verify documentation integrity and compliance.

The clinical documentation specialist works closely with physicians, nursing staff, other patient caregivers, and coding personnel to increase the quality and completeness of clear documentation and coding for CMS coordination, abstraction, and submission of accurate data. Concurrent changes to clinical documentation are made to ensure that patients with a Diagnosis Related Group-based payer gets proportional compensation for clinical severity and services performed (Medicare, Medicaid). They promote quick, accurate, and full clinical documentation, which is widely used to measure and report physician and facility outcomes. The clinical documentation specialist communicates with and educates all physicians and clinical staff about accurate and effective clinical documentation; they manage CPSI and all CPSI-related training for physicians, nursing, care management, and allied health practitioners; and they manage CPSI and all CPSI-related training for allied health practitioners.

In simple, Certified Documentation Specialist when needed communicates effectively and appropriately with physicians and other healthcare providers to ensure appropriate, accurate, and comprehensive clinical documentation. Communicates with HIM employees and collaborates with them to fix DRG assignment problems and other coding difficulties.

Erendiz Academy and Certified Documentation Expert Outpatient:

 

Erendiz Academy, the best institute for Certified Documentation Expert Outpatient (CEDO) online and classroom training in Hyderabad and PAN INDIA, promises to deliver you with world-class training to pass the CEDO certification exam with flying colours. The Certified Documentation Expert Outpatient credential validates the ability to analyze outpatient documentation for top correctness in order to fulfil coding, quality measures, and clinical standards. CDEO professionals provide feedback to clinicians in order to improve clinical documentation and to promote continual documentation improvement in order to meet all medical record requirements. Documentation experts must demonstrate understanding of pathophysiology, coding and billing requirements, and quality measures in order to become a CDEO. While there is no requirement for experience, we strongly urge that the candidate have at least two years of expertise in clinical documentation improvement. While there is no experience requirement, we strongly recommend that the candidate have at least two years of clinical documentation improvement experience. This is a difficult and high-level examination that is not intended for individuals with little, limited, or no clinical documentation improvement experience.

 

Obtaining a CDEO credential indicates that you can:

 

  • Expertise in examining medical documentation for accuracy.
  • The capacity to detect and disclose documentation flaws to providers in order to enhance documentation for proper risk adjustment coding.
  • A thorough understanding of medical coding norms and regulations, as well as compliance and reimbursement. This enables a clear knowledge of how coding affects payment structures.
  • A detailed understanding of anatomy, pathophysiology, and medical terminology is required in order to code effectively utilizing the CPT, ICD-10-CM, and HCPCS Level II coding systems.

 

The New Structure of the CDEO Exam:

 

  • 100 multiple-choice questions (proctored)
  • 4 hours to complete the exam
  • Open Code Books (manuals)
  • 70% passing score required

 

Mode of Training

 

  • Online
  • Classroom

 

The CDEO Exam Breakdown Structure
Topics Areas Exam Questions
Purpose of CDI
  • Holistic, integrated, aggregate use of the medical record
  • Explain the goal of physician based clinical documentation improvement
  • Clear picture of health and status
  • Improved patient outcomes
  • 5 questions
Provider Communication and Compliance
  • Explain how the OIG can assist in determining areas of CDI focus
  • Identify strategies for communicating crucial messages
  • Demonstrate ability to write a non-leading provider query
  • Demonstrate ability to provide a rationale for queries
  • 10 questions
Clinical Conditions For each of clinical conditions listed below:
Understand clinical picture, criteria for diagnosis (lab work, radiology, etc.), common medications, common abbreviations, and common treatment profiles. Understand documentation requirements necessary for code assignment based on ICD-10 guidelines.Aortic aneurysm, Amputation, Artificial openings, Aortic stenosis/sclerosis, Adjuvant therapy, Burns, CAD, Congenital versus acquired conditions, Anemia (blood loss) polycythemia, Crohn’s disease, Common conditions of the ear, Common conditions in pregnancy, Cirrhosis, Chronic Kidney Disease, Cardiomyopathy, Cardiac conduction conditions sick sinus syndrome, Chronic Obstructive Pulmonary Disease bronchitis, asthma, CVA vs. TIA, Drug Dependence, Diabetes, Deep Vein Thrombosis, Epilepsy, Fractures, Heart failure, Head injury, HIV/AIDS, Hemiplegia, Hypertension, Active versus history of neoplasm, Hypoxia, Malnutrition, Major Depression, Metastatic, Myocardial infarction, Morbid obesity and BMI, Neuropathy, Parkinson’s disease, Pathological osteoporosis fractures, Pneumonia, Common conditions in the perinatal period, Pressure ulcers, Peripheral vascular disease, Rheumatoid arthritis, Sepsis, Sequelae events (stroke, trauma), Transplant status, Venous stasis ulcers.
  • 20 questions
Diagnosis Coding
  • Identify clinically active vs. historical conditions
  • Ensure support documented for etiology and manifestation
  • Apply Coding Clinic guidance to ICD-10 coding issues.
  • Recall ICD-10-CM Outpatient Coding Guidelines
  • Code selected conditions to the highest level of specificity that documentation supports.
  • Select the first listed diagnosis on a claim
  • 10 questions
Documentation Requirements
  • Ability to properly correct errors and audit requirements of who documented
  • Identify cloned and cut and paste documentation
  • Requirements for a complete medical record
  • Understand requirements for proper use of templates
  • Identify correctly authenticated notes in situations where multiple authors have documented within a note (MA, scribe, provider)
  • Demonstrate an understanding of the responsibilities of medical and clinical staff as it relates to documentation
  • Electronic signature requirements vs paper signature requirements
  • Documentation to support billing and coding for supplies (drugs) administered in office
  • Documentation to support diagnostic tests (labs, radiology, medicine)
  • Selecting the codes from a coding software pick lists
  • Identify clinically valid diagnoses when considering number of conditions managed and treated and identifying “note bloat”
  • Management of problem lists
  • Distinguish between acceptable and unacceptable use of abbreviations within the medical record (Legibility)
  • Timely completion of medical records
  • 10 questions
Payment Models
  • Understand fee-for-service payment methodology
  • Explain how the HCC Risk adjustment model can determine areas of CDI focus
  • Explain how documentation affects HCC risk adjustment and patient RAF scores
  • Understand new payment models and documentation requirements (eg, bundled payments, value based payment modifiers)
  • 5 questions
Procedure Coding
  • Apply CPT Assistant guidance related to procedure coding
  • Apply CPT coding guidelines
  • Apply understanding of significant and separately identifiable when coding multiple E/M services and E/M services with procedures
  • Show how analysis of data applies to complexity of medical decision making (interpreted by a physician)
  • Evaluate physician documentation to determine complexity of medical decision making
  • Identify correct use of time in documentation of E/M
  • Apply the table of risk in determining complexity of medical decision making
  • Sick visits reported with preventive visits
  • 10 questions
Quality Measures
  • Understand and identify HEDIS measures
  • Know the requirements for meaningful use
  • Identify PQRS measures and proper documentation for support
  • Demonstrate knowledge of quality measures and other value based payment systems
  • Understand strategies for capturing quality measures within documentation
  • Understand the purpose of the Stars rating and the domains.
  • 10 questions
Cases
  • Identify documentation to support codes.
  • Identify documentation deficiencies in a medical record.
  • Select a provider query applicable to the medical record.
  • Select supporting regulations to identify why additional documentation is required.
  • Select the correct cods based on documentation.
  • 10 cases with 20 multiple choice questions
 

||||CDEO Exam||Total 100 Questions||4 Hours||

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