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Which type of query is the best option?
A clinical documentation integrity practitioner (CDIP) is looking for clarity on whether a diagnosis has been "ruled in" or "ruled out". Which type of query is the best option?A . Yes/NoB . NoneC . Open-endedD . Multiple-choiceView AnswerAnswer: C Explanation: An open-ended query is a type of query that allows...
The key component of the auditing and monitoring process to ensure provider query response is to
The key component of the auditing and monitoring process to ensure provider query response is toA . audit individual providers to indicate improvement in health record documentationB . have a process in place for ongoing education and training of the staff involved in conducting provider queriesC . make sure that...
The ultimate purpose of clinical documentation integrity (CDI) expansion and growth is to
The ultimate purpose of clinical documentation integrity (CDI) expansion and growth is toA . provide community education to healthcare consumersB . create synergy between clinical education and CDI principlesC . show a direct relationship between clinical documentation and quality patient careD . promote CDI functions so that physicians view the...
A clinical documentation integrity (CDI) program that is compliant with regulations from the facility's payors results in
A clinical documentation integrity (CDI) program that is compliant with regulations from the facility's payors results inA . higher overall program costB . need for more CDI staffC . less risk from auditsD . meeting external benchmarksView AnswerAnswer: C
Which data should be used to quantify the extent of the problem?
A hospital is conducting a documentation integrity project for the purpose of reducing indiscriminate use of electronic copy and paste of patient information in records by physicians. Which data should be used to quantify the extent of the problem?A . Percent of insurance billings denied due to lack of record...
A patient falls off a ladder and undergoes a right femur procedure. Three weeks later, the patient returns to the hospital for removal of the external fixation device. The ICD-10-CM 7th character code value should indicate
A patient falls off a ladder and undergoes a right femur procedure. Three weeks later, the patient returns to the hospital for removal of the external fixation device. The ICD-10-CM 7th character code value should indicateA . subsequentB . sequelaC . initialD . aftercareView AnswerAnswer: D Explanation: The ICD-10-CM 7th...
What is a primary step for the CDIP?
A clinical documentation integrity practitioner (CDIP) is developing a plan to promote the CDI program throughout a major hospital. It is proving challenging to find support. What is a primary step for the CDIP?A . Determine primary interests and needs as requestedB . Determine primary interests of an individual or...
What documentation clarification is needed to support accurate coding of the record?
An 88-year-old male is admitted with a fever, cough, and leukocytosis. The physician documents admit for probable sepsis due to urinary tract infection (UTI). Antibiotics are started. Three days later, the blood and urine cultures are negative, the patient has been afebrile since admission, and the white blood count is...
When a change in departmental workflow is necessary, the first step is to
When a change in departmental workflow is necessary, the first step is to A. define the gaps and solutions B. set realistic timelines C. re-engineer the process D. assess the current workflowView AnswerAnswer: D Explanation: The first step in changing a departmental workflow is to assess the current workflow and...
What is the correct diagnostic related group assignment?
Current smoker What is the correct diagnostic related group assignment?A . DRG 190 Chronic Obstructive Pulmonary Disease with MCCB . DRG 202 Bronchitis and Asthma with CC/MCCC . DRG 204 Respiratory Signs and SymptomsD . DRG 194 Simple Pneumonia and Pleurisy without CC/MCCView AnswerAnswer: A Explanation: According to the ICD-10-CM/PCS...
