CDI CHAPTER 12 questions well answered rated A+ 2023

CDI CHAPTER 12 Ramifications of a non-compliance - correct answer • any activities that affect the coding and billing process are scrutinized by CMS and the HHS office of the inspector general oig in their annual work plans for healthcare organizations. • since coding translates clinical documentation into the diagnostic and procedural codes that are the basis for billing regulatory agencies closely monitor it • overbilling the federal government can result in damages and fines as well as the possibility of exclusion from the Medicare program not to mention significant legal consulting fees overview of compliance - correct answer •the organization's compliance officer should be a part of the CDI oversight committee and part of the team that works to build physician support for the program • the CDI function: - annual auditing that the compliance department manages - day-to-day monitoring of the - in most compliance plans the CDI department is also responsible for documenting and monitoring process and reporting results to the compliance officer on a regular basis CDI components of a compliance plan - correct answer • CDI program should include a design for the day-to-day processes that include the four components of a compliance plan at the operational level these components are: - policy and procedural development -program monitoring - auditing - follow up education * should there be an internal or external inquiry about possible compliance violations not only with the data from the compliance department be available at the CDI programs operational documentation from these for area would be available as well three components of a compliant CDI program - correct answer • the three components an organization should include early in the implementation of a compliant clinical documentation improvement program are: