CDIP PACKED BUNDLE 2026 COMPLETE
QUESTIONS AND ALL CORRECT ANSWERS
⩥ purpose of CDI program (p2). Answer: to initiate concurrent and, as
appropriate, retrospective reviews of health records for
conflicting, incomplete, or nonspecific provider documentation.
⩥ goal of CDI reviews (p2). Answer: to identify clinical indicators to
ensure that all diagnoses and procedures are supported by
ICD-9-CM codes.
⩥ key CDI stakeholders (p3). Answer: • HIM and coding departments
• Case management and utilization review
• Medical staff and physician leadership
• Executive leadership
• Patient financial services or billing
• Finance and revenue cycle
• Quality and risk management
• Nursing
• Compliance and ethics
,⩥ some examples of CDI goals (p4). Answer: • Obtain clinical
documentation that captures the patient severity of illness and risk of
mortality
• Identify and clarify missing, conflicting, or nonspecific physician
documentation related to
diagnoses and procedures
• Support accurate diagnostic and procedural coding, MS-DRG
assignment, leading to
appropriate reimbursement
• Promote health record completion during the patient's course of care,
which promotes patient safety
• Improve communication between physicians and other members of the
healthcare team
• Provide awareness and education
• Improve documentation to reflect quality and outcome scores
• Improve coders' clinical knowledge
⩥ query (p4). Answer: the physician communication tool used
concurrently or retrospectively to obtain documentation clarification.
Other terms synonymous with "query" include clarification, clinical
clarification, documentation
alert, and documentation clarification.
, ⩥ To support the request for documentation, CDI professionals should
provide... (p4). Answer: clinical indicators and/or medical evidence that
prompted the request for clarification.
⩥ An electronic query is... (p5). Answer: a process in which the
physician can provide any clarification or specificity on the case by
creating an electronic document that is linked to the patient's EHR and
made available as a permanent part of the health record metadata.
⩥ The CDI quality assurance (QA) audit tool... (p6). Answer: helps
monitor the work of the CDI professional... It is important for a facility
to have checks and balances in place to ensure the highest level of
integrity as CDI programs mature... It is recommended that each
organization specify the frequency and volume of audits within its
departmental policy.
⩥ Possible red/yellow/green benchmarks for monthly dashboard
(individual benchmarks on separate flash cards) - benchmarks and goals
need to be set by facility (pp 7-8). Answer: • >80 percent total discharges
reviewed
• 15-20 percent physician clarification impact
• >50 percent severity clarifications
• >80 percent physician response to clinician
• >80 percent physician agreement with clinician
• >75 percent CDS/Coder DRG match
QUESTIONS AND ALL CORRECT ANSWERS
⩥ purpose of CDI program (p2). Answer: to initiate concurrent and, as
appropriate, retrospective reviews of health records for
conflicting, incomplete, or nonspecific provider documentation.
⩥ goal of CDI reviews (p2). Answer: to identify clinical indicators to
ensure that all diagnoses and procedures are supported by
ICD-9-CM codes.
⩥ key CDI stakeholders (p3). Answer: • HIM and coding departments
• Case management and utilization review
• Medical staff and physician leadership
• Executive leadership
• Patient financial services or billing
• Finance and revenue cycle
• Quality and risk management
• Nursing
• Compliance and ethics
,⩥ some examples of CDI goals (p4). Answer: • Obtain clinical
documentation that captures the patient severity of illness and risk of
mortality
• Identify and clarify missing, conflicting, or nonspecific physician
documentation related to
diagnoses and procedures
• Support accurate diagnostic and procedural coding, MS-DRG
assignment, leading to
appropriate reimbursement
• Promote health record completion during the patient's course of care,
which promotes patient safety
• Improve communication between physicians and other members of the
healthcare team
• Provide awareness and education
• Improve documentation to reflect quality and outcome scores
• Improve coders' clinical knowledge
⩥ query (p4). Answer: the physician communication tool used
concurrently or retrospectively to obtain documentation clarification.
Other terms synonymous with "query" include clarification, clinical
clarification, documentation
alert, and documentation clarification.
, ⩥ To support the request for documentation, CDI professionals should
provide... (p4). Answer: clinical indicators and/or medical evidence that
prompted the request for clarification.
⩥ An electronic query is... (p5). Answer: a process in which the
physician can provide any clarification or specificity on the case by
creating an electronic document that is linked to the patient's EHR and
made available as a permanent part of the health record metadata.
⩥ The CDI quality assurance (QA) audit tool... (p6). Answer: helps
monitor the work of the CDI professional... It is important for a facility
to have checks and balances in place to ensure the highest level of
integrity as CDI programs mature... It is recommended that each
organization specify the frequency and volume of audits within its
departmental policy.
⩥ Possible red/yellow/green benchmarks for monthly dashboard
(individual benchmarks on separate flash cards) - benchmarks and goals
need to be set by facility (pp 7-8). Answer: • >80 percent total discharges
reviewed
• 15-20 percent physician clarification impact
• >50 percent severity clarifications
• >80 percent physician response to clinician
• >80 percent physician agreement with clinician
• >75 percent CDS/Coder DRG match
