CERTIFIED DOCUMENTATION INTEGRITY
PRACTITIONER EXAM (CDIP) NEWEST
ACTUAL EXAM WITH COMPLETE
QUESTIONS AND DETAILED VERIFIED
ANSWERS GRADED A+ | 100% VERIFIED
A successful CDI program must identify goals to ensure success
of the program across the organization and clear understanding
of program strategy. Identify a goal below that most accurately
displays this.
a.Train all CDI Staff in inpatient coding
b.Ensure all physicians complete their training modules
c.Identify and clarify missing, conflicting, or nonspecific
physician documentation related to diagnoses and procedures
d.Complete five queries per day - ✔✔✔ Correct Answer > c CDI
programs are seen as the bridge between a host of
professionals, such as physicians, case management, coding
professions, quality management, and financial services. Any
successful program operates by utilizing clearly defined goals
and measurements. Some examples of CDI goals include:
•Obtain clinical documentation that captures the patient
severity of illness and risk of mortality
,•Identify and clarify missing, conflicting, or nonspecific
physician documentation related to diagnoses and procedures
•Support accurate diagnostic and procedural coding, MS-DRG
assignment, leading to appropriate reimbursement
•Promote health record completion during the patient's course
of care, which promotes patient safety
•Improve communication between physicians and other
members of the healthcare team
•Provide awareness and education
•Improve documentation to reflect quality and outcome scores
•Improve coders' clinical knowledge
A facility has a MSDRG utilization rate of 85 percent of MCCs for
a specific MSDRG. This could indicate:
a.underutilization
b.overutilization
c.a compliance risk
d.both Band C - ✔✔✔ Correct Answer > d A higher utilization of
a specific DRG in comparison to peers could indicate a
documentation/coding issue (Hess 2015, 90).
,A CDI program should have ongoing monitoring to ensure CDI
activities are being performed compliantly and accurately. This
process is called.
a.Quality Assurance Tool/Program
b.CDI Monitoring Tool/Program
c.CDI Checks and Balances Tool/Program
d.This process is not required as long as knowledgeable staff is
utilized - ✔✔✔ Correct Answer > a It is important to implement
a Quality Assurance Audit Tool/Program to perform review of
CDI functions and activities. It is important for a facility to have
checks and balances in place to ensure the highest level of
integrity as CDI programs mature. External audits will be
scrutinizing health records closely for documentation, including
those by RAC contractors. When developing a CDI program, a
strong QA process can aid in achieving a successful and
compliant program (AHIMA 2014a, 6).
A clinical documentation specialist (CDS) is employed at ABC
hospital. She has been consistently having conversations with
the hospitalists on what they should document on every
patient that presents with fever and receives antibiotics. As
director, you should:
a.Review the AHIMA Query Brief with the CDS
b.Review the escalation policy with the CDS
, c.Ensure all staff have the same proactive approach
d.No attention to this area is needed - ✔✔✔ Correct Answer >
a Review the AHIMA Query Brief with the CDS. Verbal queries
should contain the same clinical indicators and follow the same
format as written queries to ensure compliance and
consistency in policy and process. Documentation of the verbal
query may be condensed to reflect the stated information, but
should identify the clinical indicators that support the query as
well as the actual question posed to the practitioner. Verbal
queries should be documented at the time of the discussion or
immediately following (AHIMA 2013a, 50-53).
The CDS manager has been asked to assist with assessing or
managing data quality for internal external customers. This role
is called the:
a.Chief Information Officer
b.HIM director
c.Quality analyst
d.Data manager - ✔✔✔ Correct Answer > d Data manager.
When tasked with assessing or managing data quality, an HIM
professional must first understand who the data consumers
are. This involves making a list of all of the internal and external
consumers. Assessing the needs of data consumers is
challenging; a good data manager would ask the data consumer
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