CDIP- Certified Documentation Integrity Practitioner

CDI program data includes: correct answers 1. All cases that were reviewed 2. Number of cases with queries 3. Nature of the query 4. Physician response to the query Queries should only be asked: correct answers 1. If there is clinical evidence that the documentation is imcomplete or does not m...

eMAR correct answers Electronic medication administration record PACS correct answers Picture archive and communication system CPOE correct answers Computerized provider/practitioner/physician order entry CAMP correct answers Coaching, asking, mastering, peer learning ICEHR correct answe...

What is a reason a physician documentation can be difficult to review? correct answers Illegible handwriting The best scientific data available for clinical documentation is also known as correct answers Evidence-based medicine The two-part theory for high-quality clinical documentation is a c...

A physician admits a patient with shortness of breath and chest pain, then treats the patient with Lasix, oxygen, and Theophylline. The physician's final documented diagnosis for the patient is acute exacerbation of COPD. What is missing from this diagnosis that would make it reliable information i...

What is CDI? correct answers Any manual or electronic notation made by a clinical care provider or their authorized "medical scribe." What is the purpose of CDI? correct answers The diagnosis and procedures documented in the record need to be clearly supported by clinical indicators so that the...

Coding Clinic correct answers Valuable reference tool for coders that is published by AHA each quarter CPT correct answers Current Procedural Terminology MS-DRGs correct answers Medicare Severity-Diagnosis Related Groups CPT Assistant correct answers Monthly publication by the AMA that prov...