CDIP Domain 4: CDI Metrics & Statistics
Exam Questions with Correct Answers
MAC - Answer-Medicare Administrative Contractor
RAC - Answer-Recovery Audit Contractor
Denial rate is calculated by - Answer-Dividing the number of claims or line items denied,
by the number of claims or line items submitted
Query response rate - Answer-the number of responses from the providers to the
queries that have been written.
QRR - Answer-Query Response Rate
Calculation of the QRR is performed by - Answer-dividing the number of queries
responses by the number of queries written
Calculation of the QRR is based on - Answer-responses only, and may also be based
on completion within the established time frame
PPC - Answer-Potentially Preventable Complications
PPA - Answer-Potentially Preventable Admissions
CMI - Answer-Case Mix Index
Physician Compare - Answer-CMS website that assists in finding and choosing
physicians and other health care professionals enrolled in Medicare so that you can
make informed choices about the health care you get, as required by the Affordable
Care Act (ACA) of 2010
SPS - Answer-Safe Practice Score
CPOE - Answer-Computerized Physician Order Entry
EBHR - Answer-Evidence-Based Hospital Referral
IPS - Answer-ICU Physician Staffing
HCAHPS - Answer-Hospital Consumer Assessment of Healthcare Providers and
Systems
Exam Questions with Correct Answers
MAC - Answer-Medicare Administrative Contractor
RAC - Answer-Recovery Audit Contractor
Denial rate is calculated by - Answer-Dividing the number of claims or line items denied,
by the number of claims or line items submitted
Query response rate - Answer-the number of responses from the providers to the
queries that have been written.
QRR - Answer-Query Response Rate
Calculation of the QRR is performed by - Answer-dividing the number of queries
responses by the number of queries written
Calculation of the QRR is based on - Answer-responses only, and may also be based
on completion within the established time frame
PPC - Answer-Potentially Preventable Complications
PPA - Answer-Potentially Preventable Admissions
CMI - Answer-Case Mix Index
Physician Compare - Answer-CMS website that assists in finding and choosing
physicians and other health care professionals enrolled in Medicare so that you can
make informed choices about the health care you get, as required by the Affordable
Care Act (ACA) of 2010
SPS - Answer-Safe Practice Score
CPOE - Answer-Computerized Physician Order Entry
EBHR - Answer-Evidence-Based Hospital Referral
IPS - Answer-ICU Physician Staffing
HCAHPS - Answer-Hospital Consumer Assessment of Healthcare Providers and
Systems
