CDI Question and Answer Key
A 3M study suggested that the reimbursement impact on the implementation of ICD-10-CM/PCS would
be what? - ANSWER-Minimal
A benefit to the CDI program comes with the reporting of what phenomenon? - ANSWER-CDI interfaces
with other functions
A comprehensive retrospective review should be conducted at least once a year of what aspect of the
CDI program? - ANSWER-All query opportunities
A content server captures data from a variety of sources in collaborative intelligence software, including:
- ANSWER-Concurrent review (CDIP)
A convenience sampling methodology implies: - ANSWER-Selecting cases that are convenient to retrieve
A future goal for any CDI program should be to implement: - ANSWER-Six Sigma
A goal of every CDI program is to obtain high-quality clinical documentation _________. - ANSWER-Prior
to the patient being discharged from the hospital
A query is necessary when a conflict in documentation exists between an attending physician and which
practitioner? - ANSWER-Anesthesiologist
A typical CAMP training program consists of: - ANSWER-Four hours of training for physicians to learn
core concepts
An effective CDI program should be able to capture 70 to 75 percent of the query responses _______. -
ANSWER-Concurrently
Built-in EHR prompts such as "type and acuity" of CHF are an example of using____________ to improve
the clinical record. - ANSWER-Structured data elements
CDI staff members must work directly with this department to obtain data about retrospective physician
queries. - ANSWER-Health information management
CDI teams can use the time saved by using NLP applications to: - ANSWER-Expand the program to
include other payers
Changes in these two rates may suggest problems with clinical documentation? - ANSWER-Major
complication or comorbidity and complication or comorbidity
Clinical documentation determines actual and perceived quality of care which makes it important to
train CDI staff on what basics of Medicare? - ANSWER-Quality indicators
Clinical documentation policies and procedures should: - ANSWER-Be created by and specifically for
each organization
Collaborative intelligence offers solutions for improving clinical documentation such as: - ANSWER-Real-
time documentation improvement
Computer-assisted-coding applications can be paired with _____________software technology to
increase MCC/CC capture rates. - ANSWER-CDI
, CDI Question and Answer Key
Detailed query documentation can be used to: - ANSWER-Protect the hospital against claims from
physicians about leading queries
During the review of clinical documentation, on what is it imperative to focus the review? - ANSWER-
Current provider documentation
Effective critical thinking skills and improved interpersonal relationships will result in control of: -
ANSWER-Emotion
Establishing the __________ rate is determined through the assessment process and could take several
months. - ANSWER-Target review
Generally, initial CDI implementation programs should: - ANSWER-Plan expansion in small steps
High-quality clinical documentation is the basis for what standard? - ANSWER-Gold standard
Higher quality clinical documentation is a primary contributor to a higher level of __________. -
ANSWER-Severity level accuracy
Hospitals often track the physician response rate. What could a level lower than benchmark reflect? -
ANSWER-Lack of physician-hospital alignment
How have complex barriers burdened the query process? - ANSWER-Multi-network tracking
If the agreement rate on retrospective queries for a physician is 100 percent, this could be a sign of: -
ANSWER-Leading queries
In 1982, which aspect of medical billing/reimbursement increased the demand for accuracy and
timeliness with regard to medical coding? - ANSWER-Reimbursement was driven by codes assigned to
patient care
In general, hospitals have higher quality scores when _____________. - ANSWER-The majority of
patients are grouped in the higher severity levels
In the CAMP acronym, asking means: - ANSWER-Asking for feedback from physician students at the right
time
In the CAMP acronym, what does the M stand for? - ANSWER-Mastering
In the diagnostic laboratory setting, what is the challenge for physicians ordering tests prior to rendering
services? - ANSWER-Accurate detailed documentation
Industry projections suggest ICD-10-CM/PCS will initially reduce productivity by _____ percent. -
ANSWER-50
Interns, residents, and fellows are physicians with lesser accountability due to their inability to act as an
attending physician and are also known as ______. - ANSWER-House staff
It is important to report and analyze CDI key metrics in what form? - ANSWER-Aggregate
It is vital to provide CDI training to anyone who performs _______. - ANSWER-Documentation in clinical
records
A 3M study suggested that the reimbursement impact on the implementation of ICD-10-CM/PCS would
be what? - ANSWER-Minimal
A benefit to the CDI program comes with the reporting of what phenomenon? - ANSWER-CDI interfaces
with other functions
A comprehensive retrospective review should be conducted at least once a year of what aspect of the
CDI program? - ANSWER-All query opportunities
A content server captures data from a variety of sources in collaborative intelligence software, including:
- ANSWER-Concurrent review (CDIP)
A convenience sampling methodology implies: - ANSWER-Selecting cases that are convenient to retrieve
A future goal for any CDI program should be to implement: - ANSWER-Six Sigma
A goal of every CDI program is to obtain high-quality clinical documentation _________. - ANSWER-Prior
to the patient being discharged from the hospital
A query is necessary when a conflict in documentation exists between an attending physician and which
practitioner? - ANSWER-Anesthesiologist
A typical CAMP training program consists of: - ANSWER-Four hours of training for physicians to learn
core concepts
An effective CDI program should be able to capture 70 to 75 percent of the query responses _______. -
ANSWER-Concurrently
Built-in EHR prompts such as "type and acuity" of CHF are an example of using____________ to improve
the clinical record. - ANSWER-Structured data elements
CDI staff members must work directly with this department to obtain data about retrospective physician
queries. - ANSWER-Health information management
CDI teams can use the time saved by using NLP applications to: - ANSWER-Expand the program to
include other payers
Changes in these two rates may suggest problems with clinical documentation? - ANSWER-Major
complication or comorbidity and complication or comorbidity
Clinical documentation determines actual and perceived quality of care which makes it important to
train CDI staff on what basics of Medicare? - ANSWER-Quality indicators
Clinical documentation policies and procedures should: - ANSWER-Be created by and specifically for
each organization
Collaborative intelligence offers solutions for improving clinical documentation such as: - ANSWER-Real-
time documentation improvement
Computer-assisted-coding applications can be paired with _____________software technology to
increase MCC/CC capture rates. - ANSWER-CDI
, CDI Question and Answer Key
Detailed query documentation can be used to: - ANSWER-Protect the hospital against claims from
physicians about leading queries
During the review of clinical documentation, on what is it imperative to focus the review? - ANSWER-
Current provider documentation
Effective critical thinking skills and improved interpersonal relationships will result in control of: -
ANSWER-Emotion
Establishing the __________ rate is determined through the assessment process and could take several
months. - ANSWER-Target review
Generally, initial CDI implementation programs should: - ANSWER-Plan expansion in small steps
High-quality clinical documentation is the basis for what standard? - ANSWER-Gold standard
Higher quality clinical documentation is a primary contributor to a higher level of __________. -
ANSWER-Severity level accuracy
Hospitals often track the physician response rate. What could a level lower than benchmark reflect? -
ANSWER-Lack of physician-hospital alignment
How have complex barriers burdened the query process? - ANSWER-Multi-network tracking
If the agreement rate on retrospective queries for a physician is 100 percent, this could be a sign of: -
ANSWER-Leading queries
In 1982, which aspect of medical billing/reimbursement increased the demand for accuracy and
timeliness with regard to medical coding? - ANSWER-Reimbursement was driven by codes assigned to
patient care
In general, hospitals have higher quality scores when _____________. - ANSWER-The majority of
patients are grouped in the higher severity levels
In the CAMP acronym, asking means: - ANSWER-Asking for feedback from physician students at the right
time
In the CAMP acronym, what does the M stand for? - ANSWER-Mastering
In the diagnostic laboratory setting, what is the challenge for physicians ordering tests prior to rendering
services? - ANSWER-Accurate detailed documentation
Industry projections suggest ICD-10-CM/PCS will initially reduce productivity by _____ percent. -
ANSWER-50
Interns, residents, and fellows are physicians with lesser accountability due to their inability to act as an
attending physician and are also known as ______. - ANSWER-House staff
It is important to report and analyze CDI key metrics in what form? - ANSWER-Aggregate
It is vital to provide CDI training to anyone who performs _______. - ANSWER-Documentation in clinical
records
