CDIP {AHIMA'S CLINICAL DOCUMENTATION IMPROVEMENT} EXAM |GUARANTEED ACCURATE ANSWERS |VERIFIED
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Course
CDIP {AHIMA\\\'S CLINICAL
Institution
CDIP {AHIMA\\\'S CLINICAL
CDI program data includes: - ACCURATE 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: - ACCURATE ANSWERS 1. If there is clinical evidence that the documentation is imcomplete or doe...
CDI program data includes: - ACCURATE 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: - ACCURATE ANSWERS✔✔ 1. If there
is clinical evidence that the documentation is imcomplete or does not
meet one of the seven criteria for high-quality clinical documentation.
2. By an individual with solid clinical knowledge.
, 3. In an open-ended manner (no yes or no questions)
4. In a nonleading manner.
5. To the individual whose documentaion is in question or who is
responible for interpreting test results or other data in the patient's
record.
Query process and procedure should address: - ACCURATE
ANSWERS✔✔ 1. When queries will be asked.
2. Who will ask queries and to whom queries will be asked.
3. The hospital's responsibility in supporting the quering process.
4. The physician's responsibility in responding to queries.
5. Acceptable ways to responding to queries.
Examples of when a query is required may include: - ACCURATE
ANSWERS✔✔ 1. Documentation of reportable conditions or
procedures is conflicting, ambigious, or is otherwise incomplete.
2. Abnormal diagnostic test results indicate the possible addition of a
secondary diagnosis or higher specificity of an already documented
condition.
3. The patient is receiving treatment for a condition that has not been
documented.
4. Abnormal operative or procedureal findings are not documented.
5. It is unclear as to whether a condition was ruled out.
6. The pricipal diagnosis is not clearly identified.
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