Concurrent reviews - Study guides, Class notes & Summaries

A method of documenting nurses' progress notes by recording only abnormal or unusual findings or deviations from the prescribed plan of care is called: a. Problem-oriented progress notes b. Charting by exception c. Consultative notations d. Open charting - B A 65-year-old white male was admitted to the hospital on 1/15 complaining of abdominal pain. The attending physician requested an upper GI series and laboratory evaluation of CBC and UA. The x-ray revealed possible cholelithiasis, an...

CDIP Toolkit Study Quiz 2024. recent drivers of CDI (p2) - correct answer - MS-DRGs 2007 to reflect SOI/ROM - POA indicators 2008 - Medicare Advantage/Part C (capitated, HCC) - some payers moving to APR DRGs - compliance reviews: RAC, Zone Program Integrity Contractors, Medicaid Integ Contractors purpose of CDI program (p2) - correct answer to initiate concurrent and, as appropriate, retrospective reviews of health records for conflicting, incomplete, or nonspecific provider documentati...

Surgical First Assist Test 2 Questions With 100% Correct Answers. Q. The type of review that is a critical examination of a patient's movement toward desired alterations in health status and patient care management while patient care and treatment are in progress is known as which of the following? - Correct Answer-A. concurrent review Explanation: Two types of reviews are used to evaluate the quality of care for a patient: retrospective review and concurrent review. Concurrent review is ...

Risk Adjustment Data Element - Age, Gende, Socioeconomic status, Disability status, Insurance status(Medicaid, dual-eligible,) Claims data elements such as procedure codes, place of service codes, special patient-specific conditions hospice, ESRD RAF - Risk Adjustment Factor Scores Three main types of reviews - Retrospective, Concurrent and prospective Retrospective - reviews are performed after the information has been reported and in risk adjustment these are prior years dos Concurre...

POA -:- Present on admission Concurrent reviews -:- CDI specialist reviews the patient record while the patient is in the hospital Ethical -:- Conforming to accepted standards of conduct Ethical Queries -:- Queries that do not lead the physician to a particular answer If you have two conflicting diagnoses by two providers, who should make the final decision? 2 | P a g e | G r a d e A + | 2 0 2 4 / 2 0 2 5 2 0 2 4 /2025 | © copyright | This work may not be copied for profit gain...

Risk Adjustment Data Element - ANSWER Age, Gende, Socioeconomic status, Disability status, Insurance status(Medicaid, dual-eligible,) Claims data elements such as procedure codes, place of service codes, special patient-specific conditions hospice, ESRD RAF - ANSWER Risk Adjustment Factor Scores Three main types of reviews - ANSWER Retrospective, Concurrent and prospective Retrospective - ANSWER reviews are performed after the information has been reported and in risk adjustment these are...

Understand, identify, and rank evidence-based prescribing resources - *Trusted sources* Research: RCT, systematic reviews Expert orgs like ACOG, AAFP, etc Lexicomp Natural Meds LactMeds DailyMed CredibleMeds (QT) Describe safe and ethical prescribing for family and friends - *if* you do it, treat as any patient full history, exam, etc Rx only with *extreme* caution if even allowed in your state Understand pregnancy letter categories and PLLR - Categories A, B, C, D, X --phasing o...

B When a nursing supervisor evaluates the staff nurse's performance with a group of clients to whom the staff nurse has provided nursing care, the supervisor is performing which type of evaluation? A) Outcome evaluation B) Process evaluation C) Summary evaluation D) Structure evaluation Process _______ evaluation focuses on the nurse's performance and whether the nursing care provided was appropriate and competent. B The nurse participates in a quality assurance program. Data from the previ...

CDIP Toolkit Question and answers already pass 2023/2024recent drivers of CDI (p2) - correct answer - MS-DRGs 2007 to reflect SOI/ROM - POA indicators 2008 - Medicare Advantage/Part C (capitated, HCC) - some payers moving to APR DRGs - compliance reviews: RAC, Zone Program Integrity Contractors, Medicaid Integ Contractors purpose of CDI program (p2) - correct answer to initiate concurrent and, as appropriate, retrospective reviews of he

CRC EXAM 2024 EXAM REVIEW SOLUTION Risk Adjustment Data Element - Answer-Age, Gende, Socioeconomic status, Disability status, Insurance status(Medicaid, dual-eligible,) Claims data elements such as procedure codes, place of service codes, special patient-specific conditions hospice, ESRD RAF - Answer-Risk Adjustment Factor Scores Three main types of reviews - Answer-Retrospective, Concurrent and prospective Retrospective - Answer-reviews are performed after the information has been repor...