Go back to our FAQs

Info about CDEO credential by AAPC

The CDEO – Certified Documentation Expert – Outpatient is a new AAPC credential. It is similar to CDI credentials seen in the inpatient setting where you need good clinical knowledge.

At this point there are no CCO or AAPC training materials for this credential.

You are allowed to bring in one non- coding manual reference. Chandra and Laureen used the Current Medical Diagnosis and Treatment book and found they referred to it several times.

These are the competencies you will be tested on:

  1. Purpose of CDI (8 Questions)
    1. Holistic, integrated, aggregate use of the medical record
    2. Explain the goal of physician based clinical documentation improvement
    3. Clear picture of health and status
    4. Improved patient outcomes
  2. Provider Communication and Compliance (15 Questions)
    1. Explain how the OIG can assist in determining areas of CDI focus
    2. Identify strategies for communicating crucial messages
    3. Demonstrate ability to write a non-leading provider query
    4. Demonstrate ability to provide a rationale for queries
  3. Clinical Conditions (45 Questions) – For each of clinical conditions listed below: understand clinical picture, criteria for diagnosis (lab work, radiology, etc.), common medications, common abbreviations, 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 – A-fib, 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
  4. Diagnosis Coding (22 Questions)
    1. Identify clinically active vs. historical conditions
    2. Ensure support documented for etiology and manifestation
    3. Apply Coding Clinic guidance to ICD-10 coding issues.
    4. Recall ICD-10-CM Outpatient Coding Guidelines
    5. Code selected conditions to the highest level of specificity that documentation supports.
    6. Select the first listed diagnosis on a claim
  5. Documentation Requirements (15 Questions)
    1. Ability to properly correct errors and audit requirements of who documented
    2. Identify cloned and cut and paste documentation
    3. Requirements for a complete medical record
    4. Understand requirements for proper use of templates
    5. Identify correctly authenticated notes in situations where multiple authors have documented within a note (MA, scribe, provider)
    6. Demonstrate an understanding of the responsibilities of medical and clinical staff as it relates to documentation
    7. Electronic signature requirements vs paper signature requirements
    8. Documentation to support billing and coding for supplies (drugs) administered in office
    9. Documentation to support diagnostic tests (labs, radiology, medicine)
    10. Selecting the codes from a coding software pick lists
    11. Identify clinically valid diagnoses when considering number of conditions managed and treated and identifying “note bloat”
    12. Management of problem lists
    13. Distinguish between acceptable and unacceptable use of abbreviations within the medical record (Legibility)
    14. Timely completion of medical records
  6. Payment Models (8 Questions)
    1. Understand fee-for-service payment methodology
    2. Explain how the HCC Risk adjustment model can determine areas of CDI focu
    3. Explain how documentation affects HCC risk adjustment and patient RAF scores
    4. Understand new payment models and documentation requirements (eg, bundled payments, value based payment modifiers)
  7. Procedure Coding (22 Questions)
    1. Apply CPT® Assistant guidance related to procedure coding
    2. Apply CPT® coding guidelines
    3. Apply understanding of significant and separately identifiable when coding multiple E/M services and E/M services with procedures
    4. Show how analysis of data applies to complexity of medical decision making (interpreted by a physician)
    5. Evaluate physician documentation to determine complexity of medical decision making
    6. Identify correct use of time in documentation of E/M
    7. Apply the table of risk in determining complexity of medical decision making
    8. Sick visits reported with preventive visits
  8. Quality Measures (15 Questions)
    1. Understand and identify HEDIS measures
    2. Know the requirements for meaningful use
    3. Identify PQRS measures and proper documentation for support
    4. Demonstrate knowledge of quality measures and other value based payment systems
    5. Understand strategies for capturing quality measures within documentation
    6. Understand the purpose of the Stars rating and the domains.

The CDEO - Certified Documentation Expert - Outpatient is a new AAPC credential. It is similar to CDI credentials seen in the inpatient setting where you need good clinical knowledge.

At this point there are no CCO or AAPC training materials for this credential.

You are allowed to bring in one non- coding manual reference. Chandra and Laureen used the Current Medical Diagnosis and Treatment book and found they referred to it several times.

These are the competencies you will be tested on:

  1. Purpose of CDI (8 Questions)
    1. Holistic, integrated, aggregate use of the medical record
    2. Explain the goal of physician based clinical documentation improvement
    3. Clear picture of health and status
    4. Improved patient outcomes
  2. Provider Communication and Compliance (15 Questions)
    1. Explain how the OIG can assist in determining areas of CDI focus
    2. Identify strategies for communicating crucial messages
    3. Demonstrate ability to write a non-leading provider query
    4. Demonstrate ability to provide a rationale for queries
  3. Clinical Conditions (45 Questions) - For each of clinical conditions listed below: understand clinical picture, criteria for diagnosis (lab work, radiology, etc.), common medications, common abbreviations, 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 – A-fib, 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
  4. Diagnosis Coding (22 Questions)
    1. Identify clinically active vs. historical conditions
    2. Ensure support documented for etiology and manifestation
    3. Apply Coding Clinic guidance to ICD-10 coding issues.
    4. Recall ICD-10-CM Outpatient Coding Guidelines
    5. Code selected conditions to the highest level of specificity that documentation supports.
    6. Select the first listed diagnosis on a claim
  5. Documentation Requirements (15 Questions)
    1. Ability to properly correct errors and audit requirements of who documented
    2. Identify cloned and cut and paste documentation
    3. Requirements for a complete medical record
    4. Understand requirements for proper use of templates
    5. Identify correctly authenticated notes in situations where multiple authors have documented within a note (MA, scribe, provider)
    6. Demonstrate an understanding of the responsibilities of medical and clinical staff as it relates to documentation
    7. Electronic signature requirements vs paper signature requirements
    8. Documentation to support billing and coding for supplies (drugs) administered in office
    9. Documentation to support diagnostic tests (labs, radiology, medicine)
    10. Selecting the codes from a coding software pick lists
    11. Identify clinically valid diagnoses when considering number of conditions managed and treated and identifying "note bloat"
    12. Management of problem lists
    13. Distinguish between acceptable and unacceptable use of abbreviations within the medical record (Legibility)
    14. Timely completion of medical records
  6. Payment Models (8 Questions)
    1. Understand fee-for-service payment methodology
    2. Explain how the HCC Risk adjustment model can determine areas of CDI focu
    3. Explain how documentation affects HCC risk adjustment and patient RAF scores
    4. Understand new payment models and documentation requirements (eg, bundled payments, value based payment modifiers)
  7. Procedure Coding (22 Questions)
    1. Apply CPT® Assistant guidance related to procedure coding
    2. Apply CPT® coding guidelines
    3. Apply understanding of significant and separately identifiable when coding multiple E/M services and E/M services with procedures
    4. Show how analysis of data applies to complexity of medical decision making (interpreted by a physician)
    5. Evaluate physician documentation to determine complexity of medical decision making
    6. Identify correct use of time in documentation of E/M
    7. Apply the table of risk in determining complexity of medical decision making
    8. Sick visits reported with preventive visits
  8. Quality Measures (15 Questions)
    1. Understand and identify HEDIS measures
    2. Know the requirements for meaningful use
    3. Identify PQRS measures and proper documentation for support
    4. Demonstrate knowledge of quality measures and other value based payment systems
    5. Understand strategies for capturing quality measures within documentation
    6. Understand the purpose of the Stars rating and the domains.
Feedback