CDI Clinical Documentation Improvement
2024 Exam Quiz Study Guide with Correct
Answers 100% Pass | Graded A+
David Mungai [Date] [Course title]
, CDI Clinical Documentation
Improvement 2024 Exam Quiz Study
Guide with Correct Answers 100% Pass |
Graded A+
What are the core operational components of a clinical
documentation program? pg.171 - Answer>> 1. concurrent
documentation review - to ID any documentation that does not
meet the criteria for high-quality clinical documentation.
2. physician queries - to ask the physician who authorized the
documentation to clarify the entry. All physicians should be
trained on the principles of clinical documentation.
What is the purpose of the documentation review? - Answer>>
To identify any documentation that does not meet the criteria for
high-quality clinical documentation and to ask the physician who
authored the documentation to clarify the entry
what is a primary reason for high-quality clinical documentation in
the record? (171) - Answer>> accurate code assignment
What are additional reasons? - Answer>> 1. healthcare quality
report cards 2. quality of care 3. patient satisfaction 4. There is an
increased need for secondary data use in public health reporting.
T/F: many industry influencers count on accurate and timely
documentation. (171) - Answer>> TRUE: There is an increased
need for secondary data use in public health reporting.
What is the name of the key resource for the physician query
process that every clinician documentation improvement program
should use? (171) - Answer>> AHIMA's "Guidelines for
Achieving a Compliant Query Process"
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