100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Previously searched by you
Previously searched by you
logo
CDIP Study Guide Questions with 100% Actual correct answers | verified | latest update | Graded A+ | Already Passed | Complete Solution $7.99   Add to cart
Quickly navigate to
Preview
  2.  
  3. All Summer Modules Studies 2024
  4.  
  5. All Summer Modules Studies 2024
  6.  
  7. All summer modules studies 2024

Exam (elaborations)

CDIP Study Guide Questions with 100% Actual correct answers | verified | latest update | Graded A+ | Already Passed | Complete Solution

1 review
 9 views  0 purchase
  • Course
  • All summer modules studies 2024
  • Institution
  • All Summer Modules Studies 2024

CDIP Study Guide Questions with 100% Actual correct answers | verified | latest update | Graded A+ | Already Passed | Complete Solution

Preview 3 out of 24  pages

Document information

  • June 19, 2024
  • 24
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers

Subjects

  • cdip study guide questions with 100 actual correc

Written for

  • All summer modules studies 2024
  • all summer modules studies 2024
  • All summer modules studies 2024
All documents for this subject (274)

1  review

review-writer-avatar

By: EXAMQA • 5 months ago

Seller

avatar-seller
Hkane

Reviews received

Content preview

CDIP Study Guide
Patients with more medications or vascular lines, and longer lengths of
stay, were significantly more likely to have higher rates of documentation
errors. T/F?
True


When should a provider provide documentation for the best quality of
documentation?
Right after caring for a patient

What type of health record documentation should be top priority when
undertaking a CDI program?
Inpatient Acute Care Health Record Documentation


What are the key activities of a CDI program? (2)
Concurrent review and concurrent physician inquiry


What is a common function that has created a problem for data integrity
of the health record that healthcare organizations should establish
compliance guidance and well thought-out processes on?
Copy and Paste


When should a medical history and physical examination be completed?
- No more than 30 days before or 24 hours after admission or
registration
- Prior to surgery or procedure requiring anesthesia services


In what timeframe should a final diagnosis of a health record and a
discharge summary be placed according to CMS conditions of
participation?
Within 30 days following discharge

,Who does OIG used to administer Medicare A and B as well as to
process claims for services rendered?
Medicare Administrative Contractors (MACs)


What is important about ventilation in the medical record?
The timeframe of ventilation.


What is a common type of malnutrition that the OIG has identified as an
over-used diagnosis resulting in overpayment under the MS-DRG
system?
Kwashiorkor Malnutrition


Four standards used in EBM (Evidence Based Medicine)
Design
Terminology
Performance
Procedural


7 Quality Clinical Documentation Criteria
Legible
Reliable
Precise
Complete
Consistent
Clear
Timely

Make sure to be able to identify examples of these*


Each clinical criteria in a patient's health record must meet what?
ALL seven of the criteria (gold standard) for clinical documentation

, What might be required if a discharge summary is inconsistent with other
entries in the health record?
A query


What does the 2014 ICD-10-PCS guidelines state is essential to achieve
complete and accurate documentation?
A joint effort between the healthcare provider and the coder


When there is provider disagreement on a diagnosis in the record or the
diagnosis is unclear coders must always?
Submit a query to clarify


Which physicians documentation is used for coding if two providers
cannot agree?
The attending physician's documentation


What all is required in an Emergency Department Record?
The ED record must include the time, means of arrival, immediate care
and treatment notes, final disposition, condition at discharge, and
instructions for follow-up.


Often the physician copies the entire__________and pastes it into the
discharge summary, giving the appearance that all the diagnoses on the
list are pertinent to the current admission.
Problem List


The purpose and scope of the problem list in all healthcare settings
(inpatient, outpatient facility, and physician practice) should:
- Facilitate continuity of care between patient visits

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller Hkane. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $7.99. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

67232 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$7.99
  • (1)
  Add to cart