Clinical Documentation Toolkit Exam Questions with Correct Answers

Clinical Documentation Toolkit Exam Questions with Correct Answers Maintained as part of the legal health record and will require more patient information than those that are only part of the business record. Retention is determined by legal counsel. - Answer-Query Management Helps monitor the work of the CDI Professional. Provides quality and quantity standards specific to coding professionals who perform CDI functions. - Answer-Quality Assurance Audit Tool The EHR - Answer-Software that allows providers to receive communication electronically, decreasing the turnaround time for clarification. Improves the productivity of the CDI Program Computer-Assisted Coding [CAC] - Answer-Automate and Improve Documentation, Coding, Data, Extraction, and Ultimately Patient Care. Software has the ability to search and compare to assist in potential query options Assists with Medication Safety Tracking and Reporting and Natural Language Processing [NLP] - Answer-History and Physical applications, history and physical reports and admission notes can be scanned for phrases indicating the necessity for a CDI review.