Certified Documentation Expert Outpatient (CDEO)® Online Training Course

BY
AAPC

Mode

Online

Duration

2 Months

Fees

$ 1195 2114

Quick Facts

particular details
Medium of instructions English
Mode of learning Self study
Mode of Delivery Video and Text Based

Course and certificate fees

Fees information
$ 1,195  $2,114
certificate availability

Yes

certificate providing authority

AAPC

The syllabus

Purpose of Clinical Documentation Improvement

  • Requirements of medical documentation
  • Benefits of CDI
  • Best practices of CDI

Documentation Requirements

  • HIPAA requirements
  • Signature requirements
  • Electronic Health Records deficiencies
    • Cloning
    • Copy Paste
    • Carry forward
  • Proper use of templates
  • Proper procedure for correcting errors
  • Documentation to support billing and coding
  • Documentation required for ancillary services
  • Documentation required for minor procedures
  • Selecting diagnosis codes for pick lists
  • Management of problem lists
  • Abbreviations
  • Timely completion of a medical record

Provider communication and compliance

  • HIPAA compliance
  • OIG Work plan and audit results
  • Provider queries

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.

Payment Models

  • Demonstrate understanding of fee-for-service payment models
    • RVUs
    • NCCI edits
    • Global days

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

  • MACRA
    • MIPS
    • Advanced payment models
  • Bundled payments

Clinical Conditions and Diagnosis Coding Part I: Chapter 1-11

  • Define the condition, signs and symptoms, testing, treatments, coding concepts, coding guidelines for the following conditions
    • Congenital versus acquired conditions (General)
    • HIV/AIDS
    • Sepsis
    • Neoplasms
    • Adjuvant therapy
    • Active versus history of neoplasm
    • Metastatic
    • Anemia (blood loss) polycythemia
    • Diabetes
    • Malnutrition
    • Morbid obesity and BMI
    • Drug Dependence
    • Major Depression
    • Epilepsy
    • Neuropathy
    • Parkinson's disease
    • Common conditions of the ear
    • Aortic aneurysm
    • Aortic stenosis/sclerosis
    • CAD
    • Cardiomyopathy
    • Cardiac conduction conditions – A-fib, sick sinus syndrome
    • CVA vs. TIA
    • Deep Vein Thrombosis
    • Heart failure
    • Hemiplegia
    • Hypertension
    • Hypoxia
    • Myocardial infarction
    • Peripheral vascular disease
    • Venous stasis ulcers
    • Chronic Obstructive Pulmonary Disease– bronchitis, asthma
    • Pneumonia
    • Crohn's disease
    • Cirrhosis

Clinical Conditions and Diagnosis Coding Part II: Chapters 12-21

  • Define the condition, signs and symptoms, testing, treatments, coding concepts, coding guidelines for the following conditions
    • Pressure ulcers
    • Rheumatoid arthritis
    • Pathological osteoporosis fractures
    • Chronic Kidney Disease
    • Common conditions in pregnancy
    • Common conditions in the perinatal period
    • Burns
    • Fractures
    • Head injury
    • Amputation
    • Artificial openings
    • Transplant status

Procedure Coding

  • Evaluation and Management Coding
    • Review the key components
      • History
      • Exam
      • Medical decision making
        • Determine how analysis of data applied to the complexity of medical decision making
        • Review documentation to determine the complexity of medical decision making
        • Utilize the table of risk to determine MDM
      • Nature of the presenting problem
      • Time based E/M coding
  • Demonstrate the ability to determine when an E/M code can be billed in addition to a minor procedure in the office
  • Determine when a sick visit can be billed on the same date as a preventive visit
  • Apply CPT® Assistant guidance related to procedure coding
  • Apply NCD/LCD policies related to procedure coding and medical necessity

Final Exam

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