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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Compliance | - Regulatory and Compliance Fundamentals
| |
| Topic 2: Record Review & Document Clarification | - Review Clinical Records
| |
| Topic 3: Clinical Coding Practice | 15–18% | - Coding Application and Resources
|
| Topic 4: CDI Metrics & Statistics | - Measure and Analyze CDI Performance
| |
| Topic 5: Education and Leadership Development | 21–26% | - Promote Documentation Integrity
|
1. The third quarter target concurrent physician query response rate for each physician in a hospital gastroenterology department was 80%. Nine physicians met or exceeded this metric; however, two physicians had third quarter concurrent physician query response rates of 19% and 64%. What is the best course of action for the clinical documentation integrity (CDI) physician advisor/champion?
A) Schedule a group meeting with all physicians
B) Schedule individual meetings with each low-performing physician
C) Schedule a meeting with the chair of the gastroenterology department
D) Schedule individual meetings with each physician
2. When writing a compliant query, best practice is to
A) direct the physician to a specific diagnosis
B) include all relevant clinical indicators
C) use the term "possible" to describe a condition or diagnosis when uncertain if the diagnosis is present
D) use a yes/no query format for specificity of a diagnosis
3. An organization dealing with staffing shortages has adopted a policy requiring clinical documentation integrity practitioner (CDIP) to stop reviewing any record after a major complication or co-morbidity is found. What is the unintended consequence of this?
A) Decrease in severity of illness and risk of mortality
B) Reduced risk of clinical denials
C) Increased number of records reviewed by each CDIP
D) Increase in case mix index
4. Which of the following clinical documentation integrity (CDI) dashboard metrics is frequently used to help evaluate the credibility of CDI practitioner queries and the success of the CDI program?
A) CDI agreement rate
B) Provider agreement rate
C) Provider response rate
D) CDI query rate
5. Yes/No queries may be used
A) to resolve conflicting documentation from multiple practitioners
B) when the diagnosis is not clearly documented in the health record
C) in any query format
D) when only the clinical indicators of a condition are present
Solutions:
| Question # 1 Answer: B | Question # 2 Answer: B | Question # 3 Answer: A | Question # 4 Answer: B | Question # 5 Answer: A |
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