CDIP EXAM PREP Study Guide
OIG -
✔️Office of Inspector General- established by the Dept. of Labor by the Inspector
General Act of 1978 to identify fraud and abuse of Medicare part A and part B
programs
MAC -
✔️Medicare Administrative Contractor - used by the OIG to process claims for
services rendered
Criteria for high quality documemtation -
✔️1. Legible
2. Reliable
3. Precise
4. Complete
5. Consistent
6. Clear
7. Timely
EBM -
✔️Evidence Based Medicine - the best scientific data a available for clinical
documentation
Two part theory for high quality clinical documentation is derived from what -
✔️Legal/regulatory sources and peer reviewed research
Four standards used in EBM -
✔️1. Design
2. Terminology
3. Performance
4. Procedural
DHHS -
✔️Department of Health and Human services
ARRA -
✔️American Recovery and Reinvestment Act of 2009 provides specific guidance
established as part of the meaningful use incentive program
Meaningful use requirements -
✔️Provider must maintain an up to date problem list of current and active diagnoses
for 80% of patients and 80% of all patients have to have at least one coded problem
as opposed to their entire problem list coded
IPPS -
OIG -
✔️Office of Inspector General- established by the Dept. of Labor by the Inspector
General Act of 1978 to identify fraud and abuse of Medicare part A and part B
programs
MAC -
✔️Medicare Administrative Contractor - used by the OIG to process claims for
services rendered
Criteria for high quality documemtation -
✔️1. Legible
2. Reliable
3. Precise
4. Complete
5. Consistent
6. Clear
7. Timely
EBM -
✔️Evidence Based Medicine - the best scientific data a available for clinical
documentation
Two part theory for high quality clinical documentation is derived from what -
✔️Legal/regulatory sources and peer reviewed research
Four standards used in EBM -
✔️1. Design
2. Terminology
3. Performance
4. Procedural
DHHS -
✔️Department of Health and Human services
ARRA -
✔️American Recovery and Reinvestment Act of 2009 provides specific guidance
established as part of the meaningful use incentive program
Meaningful use requirements -
✔️Provider must maintain an up to date problem list of current and active diagnoses
for 80% of patients and 80% of all patients have to have at least one coded problem
as opposed to their entire problem list coded
IPPS -
