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| Section | Weight | Objectives |
|---|---|---|
| Education and Leadership Development | 21–26% | - CDI program leadership and organizational collaboration - Provider education and interdisciplinary communication - CDI project development and physician engagement |
| CDI Metrics and Statistics | - Performance metrics and reporting - Quality and outcome measurement (SOI/ROM) | |
| Compliance | - Regulatory compliance and ethical documentation practices - Audit readiness and documentation integrity standards | |
| Record Review and Document Clarification | 24–28% | - Post-discharge review and documentation validation - Clinical documentation review and gap identification - Provider query development and compliance |
| Clinical Coding Practice | 15–18% | - DRG assignment and reimbursement concepts - Diagnosis and procedure code assignment and sequencing - Coding fundamentals and guidelines application |
An organization dealing with staffing shortages has adopted a policy requiring clinical documentation integrity practitioner (CDIP) to stop reviewing any record after a major complication or co-morbidity is found. What is the unintended consequence of this?
Correct Answer: D 🗳️
Explanation: Only visible for PrepAwayTest members. You can sign-up / login (it's free).
Which member of the clinical documentation integrity (CDI) team can help provide peer-to-peer level of education on the importance of accurate documentation and query responses?
Correct Answer: B 🗳️
Explanation: Only visible for PrepAwayTest members. You can sign-up / login (it's free).
Which physician would best benefit from additional education for unanswered queries?
Correct Answer: A 🗳️
Explanation: Only visible for PrepAwayTest members. You can sign-up / login (it's free).
A key physician approaches the director of the coding department about the new emphasis associated with clinical documentation integrity (CDI). The physician does not support the program and believes the initiative will encourage inappropriate billing.
How should the director respond to the concerns?
Correct Answer: D 🗳️
Explanation: Only visible for PrepAwayTest members. You can sign-up / login (it's free).
A patient is admitted for chronic obstructive pulmonary disease (COPD) exacerbation. The patient is on 3L of home oxygen and is treated during admission with 3L of oxygen. The most appropriate action is to
Correct Answer: A 🗳️
Explanation: Only visible for PrepAwayTest members. You can sign-up / login (it's free).
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