CMY3702 FINAL PAPER QUESTIONS AND
SOLUTIONS
◉ During the review of clinical documentation, on what is it
imperative to focus the review?
Answer: Current provider documentation
◉ Review of inconsistencies or patterns that do not meet DRG
target norms, allows this data to be used for what purpose?
Answer: Clinical documentation Assessment
◉ What are the two types of data the review team should consider
in the CDI analysis process?
Answer: Data produced by the organization; data produced by
others about the organization
◉ Most organizations review data on a regular basis by ______, as
part of _______ analysis?
Answer: Diagnostic-Related Group; Case mix
◉ Changes in these two rates may suggest problems with clinical
documentation?
Answer: Major complication or comorbidity and complication or
comorbidity
,◉ Which type of review takes place while the patient is still in the
hospital and when the patient leaves the hospitals?
Answer: Concurrent; Retrospective
◉ The ____________ is one of the key indicators used to monitor a
successful CDI program.
Answer: Capture rate
◉ What is one important reason for having a CDI vision
statement?
Answer: It provides a purpose for the program
◉ Prior to creating a vision statement for clinical documentation
and CDI, what is the first necessary step?
Answer: Invite discussion by essential leaders in areas that might
impact CDI process
◉ Which committee should be comprised of executive
management, a physician advisor, a leader for clinical
documentation and CDI, and the manager of a CDI program?
Answer: Oversight
◉ What committee is comprised of individuals responsible for
day-to-day management and support for the CDI program?
Answer: Operational
, ◉ What is the most essential role the oversight committee plays?
Answer: Obtain and maintain support from the medical staff
◉ Which hospital leader should provide the initial announcement
for the CDI program the organization installs?
Answer: Chief executive officer
◉ When refreshing an existing CDI program, what is one of the
recommendations when quality or mortality scores decline?
Answer: Case audit to determine if it is a coding or clinical
documentation issue
◉ What is one of the key concepts in communication regarding
CDI the organization should consider?
Answer: What media the organization will use to communicate it
◉ What is the key to success and sustainability of the CDI
program?
Answer: Physician support
◉ The operational committee is responsible for which process on
an ongoing basis?
Answer: Queries for high-quality clinical documentation
SOLUTIONS
◉ During the review of clinical documentation, on what is it
imperative to focus the review?
Answer: Current provider documentation
◉ Review of inconsistencies or patterns that do not meet DRG
target norms, allows this data to be used for what purpose?
Answer: Clinical documentation Assessment
◉ What are the two types of data the review team should consider
in the CDI analysis process?
Answer: Data produced by the organization; data produced by
others about the organization
◉ Most organizations review data on a regular basis by ______, as
part of _______ analysis?
Answer: Diagnostic-Related Group; Case mix
◉ Changes in these two rates may suggest problems with clinical
documentation?
Answer: Major complication or comorbidity and complication or
comorbidity
,◉ Which type of review takes place while the patient is still in the
hospital and when the patient leaves the hospitals?
Answer: Concurrent; Retrospective
◉ The ____________ is one of the key indicators used to monitor a
successful CDI program.
Answer: Capture rate
◉ What is one important reason for having a CDI vision
statement?
Answer: It provides a purpose for the program
◉ Prior to creating a vision statement for clinical documentation
and CDI, what is the first necessary step?
Answer: Invite discussion by essential leaders in areas that might
impact CDI process
◉ Which committee should be comprised of executive
management, a physician advisor, a leader for clinical
documentation and CDI, and the manager of a CDI program?
Answer: Oversight
◉ What committee is comprised of individuals responsible for
day-to-day management and support for the CDI program?
Answer: Operational
, ◉ What is the most essential role the oversight committee plays?
Answer: Obtain and maintain support from the medical staff
◉ Which hospital leader should provide the initial announcement
for the CDI program the organization installs?
Answer: Chief executive officer
◉ When refreshing an existing CDI program, what is one of the
recommendations when quality or mortality scores decline?
Answer: Case audit to determine if it is a coding or clinical
documentation issue
◉ What is one of the key concepts in communication regarding
CDI the organization should consider?
Answer: What media the organization will use to communicate it
◉ What is the key to success and sustainability of the CDI
program?
Answer: Physician support
◉ The operational committee is responsible for which process on
an ongoing basis?
Answer: Queries for high-quality clinical documentation
