CDIP Domain 5: Research & Education Questions and Answers!

ROM - ANSWER-Risk of mortality SOI - ANSWER-Severity of illness MCC - ANSWER-Major complication or comorbidity CC - ANSWER-Complication or comorbidity MS-DRG - ANSWER-Medicare Severity-Diagnosis Related Group LOS - ANSWER-Length of stay CDI - ANSWER-Clinical Documentation Improvement Clinical Documentation Improvement - ANSWER-a program that promotes specificity and excellence in documentation Who participates in CDI program? - ANSWER-Physicians and mid-levels, CDI specialists, coders, and administration CMI - ANSWER-Case Mix Index HACs - ANSWER-Hospital acquired conditions RAC - ANSWER-Recovery Audit Contractor POA - ANSWER-Present on admission CDC - ANSWER-Centers for Disease Control and Prevention Accurate documentation - ANSWER-The information that is written in the patient's chart has supporting information and clinical indicators that represent the physiological impact of the diagnosis Ethical documentation - ANSWER-The provider only documents exactly what is going on with the patient and does not document diagnoses or symptoms that cannot be supported either by what the patient has told the provider or by clinical indicators or test and procedure results Sender - ANSWER-Person or group that starts the process Message - ANSWER-information to be sent Medium - ANSWER-how the information is transmitted Receiver - ANSWER-the person or group the message is intended for Forming - ANSWER-First step in forming a functional team. Forming is the selection of team members who will bring value to the group Storming - ANSWER-Second step in forming a functional team. Storming is when team members try to assert and assess their roles within the group. Norming - ANSWER-Third step in forming a functional team. When everyone knows their