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CDIP Question and Answer Key 2024 Completed Solutions 100% Correctly
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CDIP Question and Answer Key 2024 Completed Solutions 100% Correctly
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CDIP Question and Answer Key.pdf file:///C:/Users/HP/Desktop/New%20fl/CDIP%20Question%20and%CDI Questions and Answer Key
1. What is a reason a physician documentation can be difficult to review?
Answer Il-legible handwriting
2. The best scientific data available for clinical documentation is also knownas
Answer Evidence-based medicine
3. The two-part theory for high-quality clinical documentation is a
cause-and-effect theory that is derived from which two sources?
Answer Legal/Regu-latory Sources and Peer-Reviewed Research
4. When discussing completeness in a health record, the physician has fullyaddressed all
concerns, as well as what other authentication?
Answer Signature anddate
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5. Peer-reviewed academic literature states that this factor shows a relation-ship to
quality of care as well as support for concurrent CDI programs
Answer Doc-umentation
6. What evidence supports the lack of high-quality clinical documentation inthe medical
field?
Answer CDI is not taught in medical school
7. Which item is not recommended by the HHS and the OIG for minimum com-pliance
with clinical documentation regulations?
Answer Physicians should include vaccination records
8. What does "reliable" in high-quality clinical documentation mean?
Answer Physi-cian documentation supports medical treatment
9. Which item is an important aspect of consistent high-quality clinical docu-mentation?
Answer Creates a clear picture for subsequent reviewers of documentation
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10. Which aspect of the discharge summary is the biggest challenge to housestaff, mid-
level practitioners, and attending physicians as they compose the patient's discharge
summary?
Answer Timeliness
11. Which aspect of the patient's health record can a member of the house staffor midlevel
practitioner create, yet ultimately needs the attending physician toconfirm accuracy?
Answer Problem list
12. Interns, residents, and fellows are physicians with lesser accountabilitydue to their
inability to act as an attending physician and are also known as
.
Answer House staff
13. Which two medical professionals serve as mid-level practitioners by sup-porting
physicians in the delivery of care?
Answer Nurse practitioners and physician assistants
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14. In 1982, which aspect of medical billing/reimbursement increased the de- mand for
accuracy and timeliness with regard to medical coding?
Answer Reimburse-ment was driven by codes assigned to patient care
15. Which hands-on provider's documentation should the coder not use for final
coding?
Answer Diagnostic radiologist
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