CDIP PRACTICE EXAM 2
LATEST UPDATE 2024-2025
(QUESTIONS AND VERFIFIED
ANSWERS)
The CDI manager has iden0fied a trend with receiving inappropriate clinical
valida0on denials from the CMS RAC for their region. It has been stated a
wri@en le@er can be sent to this contractor prior to appeal. This is called a
___________
a.Rebu@al.
B.Discussion.
C.Level I.
D.Peer to peer session
B "The discussion period offers the opportunity for the provider to provide
addi0onal informa0on to the RAC to indicate why recoupment should not be
ini0ated. It also offers the opportunity for the RAC to explain the ra0onale for
the overpayment decision. AJer reviewing the addi0onal documenta0on
submi@ed the RAC could decide to reverse their decision" (CMS 2015c).
Research on emo0onal intelligence shows that:
a.Emo0ons do not have much of a role in the workplace.
B.A combina0on of feelings and ra0onality make managers more successful.
C.It is a clearly defined measure that can be precisely assessed.
D.Effec0ve managers and successful managers are the same.
B Advocates of emo0onal intelligence believe that awareness and use of
feelings complements ra0onal intelligence and experience, and it is the
,combina0on of these that is the key to success (Shaw and Carter 2014; latour
et al. 2013, 693).
The CDS at ABC Hospital has had ongoing problems with disagreements
between the recommended DRG and final DRG assigned by the coder. The
coding manager has recommended a policy to expedite this process for final
billing. This is called a
a.Coding policy
b.Escala0on policy
c.Final Billing policy
d.Resolu0on policy
B To ensure a process is in place to resolve issues between, CDS, Coders, and
Physicians, it is recommended an escala0on policy is ins0tuted (AHIMA 2013a).
The coding manager at Community Hospital is seeing an increased number of
physicians failing to document the cause and effect of diabetes and its
manifesta0ons. Which of the following will provide the most comprehensive
solu0on to handle this documenta0on issue?
A.Have coders con0nue to query the a@ending physician for this
documenta0on.
B.Present this informa0on at the next medical staff mee0ng to inform
physicians on documenta0on standards and guidelines.
C.Do nothing because coding compliance guidelines do not allow any ac0on.
D.Place all offending physicians on suspension if the documenta0on issues
con0nue.
B Present this informa0on at the next medical staff mee0ng to inform
physicians on documenta0on standards and guidelines. The quality of the
documenta0on entered in the health record by providers can have major
impacts on the ability of coding staff to perform their clinical analyses and
,assign accurate codes. In this situa0on, the best solu0on would be to educate
the en0re medical staff on their roles in the clinical documenta0on
improvement process. Explaining to them the documenta0on guidelines and
what documenta0on is needed in the record to support the more accurate
coding of diabetes and its manifesta0ons will reduce the need for coders to
con0nue to query for this clarifica0on (Shaw and Carter 2014; Schraffenberger
and Kuehn 2011, 285).
A ________ assists in educa0ng medical staff members on documenta0on
needed for accurate billing.
A.Physician champion
b.Compliance officer
c.Chargemaster coordinator
d.Data monitor
A Physician champion. The health informa0on manager must con0nuously
promote complete, accurate, and 0mely documenta0on to ensure appropriate
coding, billing, and reimbursement. This requires a close working rela0onship
with the medical staff, perhaps through the use of a physician champion.
Physician champions assist in educa0ng medical staff members on
documenta0on needed for accurate billing. The medical staff is more likely to
listen to a peer than to a facility employee, especially when the topic is
documenta0on needed to ensure appropriate reimbursement (Shaw and
Carter 2014; Schraffenberger and Kuehn 2011, 381).
A technique for measuring healthcare en0ty performance across the four
perspec0ves of customer, financial, internal processes, and learning and
growth is called:
a.Strategy map
b.Process innova0ons
, c.Balanced scorecard methodology
d.SWOT analysis
C Balanced scorecard methodology is a technique for measuring organiza0on
performance across the four perspec0ves of customer, financial, internal
processes, and learning and growth (Shaw and Carter 2014; latour et al. 2013,
881).
Which of the following is the best reason for team building?
A.To quickly move from acquaintanceship to a strong team
b.To iden0fy a leader
c.To help employees develop a common purpose
d.To ensure that the leader's situa0on is favorable
A To quickly move from acquaintanceship to a strong team. One thing that
binds team members together is having a common purpose. The purpose for
an ongoing work team, for example, might be to ensure cross-training, improve
procedures, and monitor quality and produc0vity. A common purpose is
necessary in order to achieve team building (Shaw and Carter 2014; latour et
al. 2013, 753).
Strategic thinkers exhibit which of the following skills?
A.Discomfort with uncertainty and risk
b.The ability to gain a powerful core of healthcare en0ty supporters and
customers
c.Flexibility but lacking crea0vity
d.An ability to implement the vision and plan and be uncomfortable with
change
B The ability to gain a powerful core of healthcare en0ty supporters and
customers. Strategic thinking is a way of introducing innova0on into decision
making and engaging others in the process of change. The skills that dis0nguish
LATEST UPDATE 2024-2025
(QUESTIONS AND VERFIFIED
ANSWERS)
The CDI manager has iden0fied a trend with receiving inappropriate clinical
valida0on denials from the CMS RAC for their region. It has been stated a
wri@en le@er can be sent to this contractor prior to appeal. This is called a
___________
a.Rebu@al.
B.Discussion.
C.Level I.
D.Peer to peer session
B "The discussion period offers the opportunity for the provider to provide
addi0onal informa0on to the RAC to indicate why recoupment should not be
ini0ated. It also offers the opportunity for the RAC to explain the ra0onale for
the overpayment decision. AJer reviewing the addi0onal documenta0on
submi@ed the RAC could decide to reverse their decision" (CMS 2015c).
Research on emo0onal intelligence shows that:
a.Emo0ons do not have much of a role in the workplace.
B.A combina0on of feelings and ra0onality make managers more successful.
C.It is a clearly defined measure that can be precisely assessed.
D.Effec0ve managers and successful managers are the same.
B Advocates of emo0onal intelligence believe that awareness and use of
feelings complements ra0onal intelligence and experience, and it is the
,combina0on of these that is the key to success (Shaw and Carter 2014; latour
et al. 2013, 693).
The CDS at ABC Hospital has had ongoing problems with disagreements
between the recommended DRG and final DRG assigned by the coder. The
coding manager has recommended a policy to expedite this process for final
billing. This is called a
a.Coding policy
b.Escala0on policy
c.Final Billing policy
d.Resolu0on policy
B To ensure a process is in place to resolve issues between, CDS, Coders, and
Physicians, it is recommended an escala0on policy is ins0tuted (AHIMA 2013a).
The coding manager at Community Hospital is seeing an increased number of
physicians failing to document the cause and effect of diabetes and its
manifesta0ons. Which of the following will provide the most comprehensive
solu0on to handle this documenta0on issue?
A.Have coders con0nue to query the a@ending physician for this
documenta0on.
B.Present this informa0on at the next medical staff mee0ng to inform
physicians on documenta0on standards and guidelines.
C.Do nothing because coding compliance guidelines do not allow any ac0on.
D.Place all offending physicians on suspension if the documenta0on issues
con0nue.
B Present this informa0on at the next medical staff mee0ng to inform
physicians on documenta0on standards and guidelines. The quality of the
documenta0on entered in the health record by providers can have major
impacts on the ability of coding staff to perform their clinical analyses and
,assign accurate codes. In this situa0on, the best solu0on would be to educate
the en0re medical staff on their roles in the clinical documenta0on
improvement process. Explaining to them the documenta0on guidelines and
what documenta0on is needed in the record to support the more accurate
coding of diabetes and its manifesta0ons will reduce the need for coders to
con0nue to query for this clarifica0on (Shaw and Carter 2014; Schraffenberger
and Kuehn 2011, 285).
A ________ assists in educa0ng medical staff members on documenta0on
needed for accurate billing.
A.Physician champion
b.Compliance officer
c.Chargemaster coordinator
d.Data monitor
A Physician champion. The health informa0on manager must con0nuously
promote complete, accurate, and 0mely documenta0on to ensure appropriate
coding, billing, and reimbursement. This requires a close working rela0onship
with the medical staff, perhaps through the use of a physician champion.
Physician champions assist in educa0ng medical staff members on
documenta0on needed for accurate billing. The medical staff is more likely to
listen to a peer than to a facility employee, especially when the topic is
documenta0on needed to ensure appropriate reimbursement (Shaw and
Carter 2014; Schraffenberger and Kuehn 2011, 381).
A technique for measuring healthcare en0ty performance across the four
perspec0ves of customer, financial, internal processes, and learning and
growth is called:
a.Strategy map
b.Process innova0ons
, c.Balanced scorecard methodology
d.SWOT analysis
C Balanced scorecard methodology is a technique for measuring organiza0on
performance across the four perspec0ves of customer, financial, internal
processes, and learning and growth (Shaw and Carter 2014; latour et al. 2013,
881).
Which of the following is the best reason for team building?
A.To quickly move from acquaintanceship to a strong team
b.To iden0fy a leader
c.To help employees develop a common purpose
d.To ensure that the leader's situa0on is favorable
A To quickly move from acquaintanceship to a strong team. One thing that
binds team members together is having a common purpose. The purpose for
an ongoing work team, for example, might be to ensure cross-training, improve
procedures, and monitor quality and produc0vity. A common purpose is
necessary in order to achieve team building (Shaw and Carter 2014; latour et
al. 2013, 753).
Strategic thinkers exhibit which of the following skills?
A.Discomfort with uncertainty and risk
b.The ability to gain a powerful core of healthcare en0ty supporters and
customers
c.Flexibility but lacking crea0vity
d.An ability to implement the vision and plan and be uncomfortable with
change
B The ability to gain a powerful core of healthcare en0ty supporters and
customers. Strategic thinking is a way of introducing innova0on into decision
making and engaging others in the process of change. The skills that dis0nguish
