INP 402 EPICCARE INPATIENT CLINICAL DOCUMENTATION ADVANCED UPDATED ACTUAL
EXAM QUESTIONS CORRECT ANSWERS GRADED A PLUS
● Clear. Answer: A record that is unambiguous, intelligible, and not
vague.
● Clinical Documentation. Answer: Any manual or electronic notation
made by a physician or other healthcare provider related to a patient's
medical condition or treatment
● Clinical Documentation Integrity (CDI). Answer: Refers to the
policies, procedures, technology, and people that promote complete and
reliable provider documentation. Essential for the assignment of ICD-
10-CM/PCS, CPT, and HCPCS codes for reimbursement for services
provided.
● Clinical Evidence. Answer: Facts that support all diagnoses
documented.
● Clinical Validation. Answer: Confirmation that a documented
diagnosis meets a particular clinical threshold.
EXAM QUESTIONS CORRECT ANSWERS GRADED A PLUS
● Clear. Answer: A record that is unambiguous, intelligible, and not
vague.
● Clinical Documentation. Answer: Any manual or electronic notation
made by a physician or other healthcare provider related to a patient's
medical condition or treatment
● Clinical Documentation Integrity (CDI). Answer: Refers to the
policies, procedures, technology, and people that promote complete and
reliable provider documentation. Essential for the assignment of ICD-
10-CM/PCS, CPT, and HCPCS codes for reimbursement for services
provided.
● Clinical Evidence. Answer: Facts that support all diagnoses
documented.
● Clinical Validation. Answer: Confirmation that a documented
diagnosis meets a particular clinical threshold.
