Certified Documentation Improvement Practitioner (CDIP) Bundle Package

Abuse CORRECT ANSWER healthcare abuse is the activity where someone overuses or misuses services Administrative safeguards CORRECT ANSWER establish standards and specifications for your health information security program that involve the following: security management processes, staff training,...

ROM CORRECT ANSWER Risk of mortality SOI CORRECT ANSWER Severity of illness MCC CORRECT ANSWER Major complication or comorbidity CC CORRECT ANSWER Complication or comorbidity MS-DRG CORRECT ANSWER Medicare Severity-Diagnosis Related Group LOS CORRECT ANSWER Length of stay CDI CORRE...

MAC CORRECT ANSWER Medicare Administrative Contractor RAC CORRECT ANSWER Recovery Audit Contractor Denial rate is calculated by CORRECT ANSWER Dividing the number of claims or line items denied, by the number of claims or line items submitted Query response rate CORRECT ANSWER the number of...

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

POA CORRECT ANSWER Present on admission Concurrent reviews CORRECT ANSWER CDI specialist reviews the patient record while the patient is in the hospital Ethical CORRECT ANSWER Conforming to accepted standards of conduct Ethical Queries CORRECT ANSWER Queries that do not lead the physician t...

Assign code(s) for the following diagnosis: Congestive heart failure due to hypertension. I10 Essential (primary) hypertension I11.9 Hypertensive heart disease without heart failure I11.0 Hypertensive heart disease with heart failure I50.9 Heart failure, unspecified I50.1 Left ventricular failu...

Cert CORRECT ANSWER Comprehensive error testing rate Cpt CORRECT ANSWER Current procedural terminology. The amas list of 5 digit codes used to report outpatient hospital and Physicians Medical and surgical services. CPT is used to report outpatient or Physician Office claims only and is updated a...

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...

OIG CORRECT ANSWER 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 CORRECT ANSWER Medicare Administrative Contractor - used by the OIG to process claims for services rendered...

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

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)...

Cert CORRECT ANSWER Comprehensive error testing rate Cpt CORRECT ANSWER Current procedural terminology. The amas list of 5 digit codes used to report outpatient hospital and Physicians Medical and surgical services. CPT is used to report outpatient or Physician Office claims only and is updated a...

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

Why hire Medicare Contractor Reviewers? CORRECT ANSWER For Protection of Medicare Trust Fund. Who is 1st of 6 Medicare Contract Reviewers? CORRECT ANSWER (MACs) Medicare Administrative Contractors Whose is 2nd of 6 Medicare Contract Reviewers? CORRECT ANSWER (RACs) Recovery Auditor Contractors...