CDIP Toolkit Exam Questions And Answers

CDIP Toolkit Exam Questions And Answers Recent drivers of CDI (p2) - CORRECT ANSWERS - MS-DRGs 2007 to reflect SOI/ROM - POA indicators 2008 - Medicare Advantage/Part C (capitated, HCC) - some payers moving to APR DRGs - compliance reviews: RAC, Zone Program Integrity Contractors, Medicaid Integ Contractors Purpose of CDI program (p2) - CORRECT ANSWERS to initiate concurrent and, as appropriate, retrospective reviews of health records for conflicting, incomplete, or nonspecific provider documentation. Goal of CDI reviews (p2) - CORRECT ANSWERS to identify clinical indicators to ensure that all diagnoses and procedures are supported by ICD-9-CM codes. Key CDI stakeholders (p3) - CORRECT ANSWERS • 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) - CORRECT ANSWERS • 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) - CORRECT ANSWERS 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) - CORRECT ANSWERS clinical indicators and/or medical evidence that prompted the request for clarification.