Cdip study guide - Study guides, Class notes & Summaries

OIG - Office of Inspector General- established by the Dept. of Labor by the Inspector General Act of 1978 to identify fraud and abuse of Medicare part A and part B programs MAC - Medicare Administrative Contractor - used by the OIG to process claims for services rendered Criteria for high quality documemtation - 1. Legible 2. Reliable 3. Precise 4. Complete 5. Consistent 6. Clear 7. Timely EBM - Evidence Based Medicine - the best scientific data a available for clinical documenta...

CDIP EXAM PREP Study Guide.

CDIP study guide Domain 2 Question and answers correctly solved 2023/2024 Outcome Indicators - correct answer Measures actual results of care of patients Balance Sheet - correct answer a statement of the assets, liabilities, and capital of a business or other organization at a particular point in time, detailing the balance of income and expenditure over the preceding period. Process Indicators - correct answer describe the important processes that contribute to the achievement of outcome...

CDI program data includes: - Answer- 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: - Answer- 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 t...

OIG - Office of Inspector General- established by the Dept. of Labor by the Inspector General Act of 1978 to identify fraud and abuse of Medicare part A and part B programs MAC - Medicare Administrative Contractor - used by the OIG to process claims for services rendered Criteria for high quality documemtation - 1. Legible 2. Reliable 3. Precise 4. Complete 5. Consistent 6. Clear 7. Timely EBM - Evidence Based Medicine - the best scientific data a available for clinical documenta...

CDIP EXAM PREP Study Guide

CDIP Domain 6 Compliance Study Guide 2024. Who sets the official Guidelines for coding and reporting (ICD-10)? - correct answer American Hospital Associates (AHA) American Health information management association (AHIMA) National Center for Health Statistics (NCHS) Center for Medicare and Medicaid Services (CMS) AHA - correct answer Serves as a clearing house for issues related to use of ICD-10 codes services in representation and advocacy role on national classification and data issues...

CDIP Study Guide