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CDIP PRACTICE EXAM 1|COMPREHENSIVE
Q&A FOR CERTIFICATION SUCCESS 2026
E/M services refer to visits and consultations furnished by physicians and the
following qualified NPPs:
a.Physical therapists; clinical nurse specialists; certified nurse midwives; and
physician assistants
b.Nurse practitioners; clinical nurse specialists; certified nurse midwives; and
physician assistants
c.Speech therapists, clinical nurse specialists; certified nurse midwives; and
physician assistants
d.These services are furnished for physicians only - correct-answer - b E/M
services refer to visits and consultations furnished by physicians and the following
qualified NPPs:
•Nurse practitioners;
•Clinical nurse specialists;
•Certified nurse midwives; and
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•Physician assistants.
A NPP's Medicare benefit must permit him or her to bill for E/M services, and the
services must be furnished within the scope of practice in the State in which the
NPP practices in order to receive payment from Medicare (CMS 2015a).
Every organization should develop a query policy and procedure that is specific to
its organization and that addresses when to ask queries, who asks queries and to
whom, the hospital's responsibility in supporting the query process, acceptable
ways to respond to queries, and ___________
a.How to optimize revenue
b.The physician's responsibility in responding to queries
c.Number of queries to ask
d.DRGs to target for revenue impact - correct-answer - b Every organization
should develop a query policy and procedure that is specific to its organization
and that addresses:
•When to ask queries,
•Who asks queries and to whom,
•The hospital's responsibility in supporting the query process,
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•Acceptable ways to respond to queries, as well as the physician's responsibility
in responding to queries
Oversight of the CDI program should be comprised of the physician advisor or
leader for clinical documentation and CDI, and the manager of the CDI program,
along with:
a.Executive leadership
b.Service line directors
c.Patient Financial Services
d.Information Technology - correct-answer - a A CDI program should have
support for physician advisor or leader for clinical documentation and CDI, and
the manager of the CDI program, along with executive leadership (Hess 2015,
105).
Anywhere Hospital has been experiencing problems interacting with the medical
staff. Anywhere should utilize which committee to assist with these problems?
a.Compliance committee
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b.Executive committee
c.Medical staff committee
d.Oversight committee - correct-answer - a A CDI program should have support
for physician advisor or leader for clinical documentation and CDI, and the
manager of the CDI program, along with executive leadership (Hess 2015, 105).
A new or restructuring CDI program should ask:
a.How can the bottom line be increased?
b.How many queries must be performed for financial success?
c.Why does clinical documentation need to be improved?
d.How fast can this be done? - correct-answer - c Understanding why a facility
want to improve clinical documentation to support the vision of the program for
all involved in the effort (Hess 2015, 205).
A new CDI program is experiencing conflicts within the health record between a
consulting physician and the physician ultimately responsible for the
documentation of the patient. The physician ultimately responsible is the:
CDIP PRACTICE EXAM 1|COMPREHENSIVE
Q&A FOR CERTIFICATION SUCCESS 2026
E/M services refer to visits and consultations furnished by physicians and the
following qualified NPPs:
a.Physical therapists; clinical nurse specialists; certified nurse midwives; and
physician assistants
b.Nurse practitioners; clinical nurse specialists; certified nurse midwives; and
physician assistants
c.Speech therapists, clinical nurse specialists; certified nurse midwives; and
physician assistants
d.These services are furnished for physicians only - correct-answer - b E/M
services refer to visits and consultations furnished by physicians and the following
qualified NPPs:
•Nurse practitioners;
•Clinical nurse specialists;
•Certified nurse midwives; and
,2|Page
•Physician assistants.
A NPP's Medicare benefit must permit him or her to bill for E/M services, and the
services must be furnished within the scope of practice in the State in which the
NPP practices in order to receive payment from Medicare (CMS 2015a).
Every organization should develop a query policy and procedure that is specific to
its organization and that addresses when to ask queries, who asks queries and to
whom, the hospital's responsibility in supporting the query process, acceptable
ways to respond to queries, and ___________
a.How to optimize revenue
b.The physician's responsibility in responding to queries
c.Number of queries to ask
d.DRGs to target for revenue impact - correct-answer - b Every organization
should develop a query policy and procedure that is specific to its organization
and that addresses:
•When to ask queries,
•Who asks queries and to whom,
•The hospital's responsibility in supporting the query process,
,3|Page
•Acceptable ways to respond to queries, as well as the physician's responsibility
in responding to queries
Oversight of the CDI program should be comprised of the physician advisor or
leader for clinical documentation and CDI, and the manager of the CDI program,
along with:
a.Executive leadership
b.Service line directors
c.Patient Financial Services
d.Information Technology - correct-answer - a A CDI program should have
support for physician advisor or leader for clinical documentation and CDI, and
the manager of the CDI program, along with executive leadership (Hess 2015,
105).
Anywhere Hospital has been experiencing problems interacting with the medical
staff. Anywhere should utilize which committee to assist with these problems?
a.Compliance committee
, 4|Page
b.Executive committee
c.Medical staff committee
d.Oversight committee - correct-answer - a A CDI program should have support
for physician advisor or leader for clinical documentation and CDI, and the
manager of the CDI program, along with executive leadership (Hess 2015, 105).
A new or restructuring CDI program should ask:
a.How can the bottom line be increased?
b.How many queries must be performed for financial success?
c.Why does clinical documentation need to be improved?
d.How fast can this be done? - correct-answer - c Understanding why a facility
want to improve clinical documentation to support the vision of the program for
all involved in the effort (Hess 2015, 205).
A new CDI program is experiencing conflicts within the health record between a
consulting physician and the physician ultimately responsible for the
documentation of the patient. The physician ultimately responsible is the:
