CDIP Domain 4 CDI Metrics and Statistics questions well answered 2023

CDIP Domain 4 CDI Metrics and StatisticsDenial Rate - correct answer Number of Claims or line items denied / number of claims or lines items submitted Query Response Rate - correct answer Number of Query Responses / Number of Queries Written Escalation Policy - correct answer Provides a specific list of management and other authorities that must be contacted in the event of no response who works the working DRG - correct answer Clinical documentation specialists Who assigns the final DRG - correct answer Normally the coder Quality Audits - correct answer A structured, independent process to determine if project activities comply with organizational and project policies, processes, and procedures. Policies for Queries - correct answer When to Query, Who should Generate the query, types of queries, who should answer, etc. What impacts quality - correct answer Severity of Illness (SOI), Risk of Mortality (ROM), Patient Safety Indicators (PSI) Potentially Preventable Complications (PPC), Potentially Preventable Admissions (PPA) Pie Chart - correct answer a chart that shows the relationship of a part to a whole Bar Chart - correct answer a chart with bars whose lengths are proportional to quantities Histogram - correct answer A graph of vertical bars representing the frequency distribution of a set of data. Table Format - correct answer A Table of Data Benchmarking - correct answer A process of continuously measuring system results, comparing those results to optimal system performance (benchmark values), and identifying steps and procedures to improve system performance Case Mix Index - correct answer The average relative weight of all cases treated at a given facility or by a given physician, which reflects the resource intensity or clinical severity of a specific group in relation to the other groups in the classification system CMI Calculation - correct answer Total Weighted Volume / # of patients Relative Weight Volume - correct answer Relative Weight * Volume Contractors for Medicare Claim Reviews - correct answer Medicare Administrative Contractor (MAC) Recovery Audit Contractor (RAC) Comprehensive Error Rate Testing (CERT) Supplemental Medical Review Contractor (SMRC) Zone Program Integrity Contractors (ZPIC) Unified Program Integrity Contractor (UPIC) 3 Types of Review - correct answer Automated Review Non- Medical Record Review Medical Record Review