Cdi program data includes - Study guides, Class notes & Summaries

Accurate Coding Impacts Medicare Severity Diagnosis Related Groups (DRGs) All Patient Refined (APR) - DRG Reimbursement Length of Stay (LOS) What is CDI Clinical Documentation Improvement - Concurrent review of the chart to make sure documentation is complete to capture accurate coding and in turn creates proper reimbursement Who Participates in a CDI Program Multi-disciplinary team approach includes: Physicians and advanced practitioners, documentation specialists, coders,...

RHIT Domain 5. The overutilization or inappropriate utilization of services and misuse of resources, typically not a criminal or intentional act is called which of the following? a. Fraud b. Abuse c. Waste d. Audit - correct answer c Waste is the overutilization or inappropriate utilization of services and misuse of resources, and typically is not a criminal or intentional act. Waste includes practice like over prescribing and ordering tests inappropriately (Foltz et al. 2016, 448). E...

CDI program data includes: - correct 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: - correct 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 nonleadin...

CDEO Exam Questions And Answers Latest Updated 2024 (GRADED) What is the central focus of clinical documentation? a. Protection against mal-practice claims b. Communication to office staff and other departments about the patient's care c. To facilitate optimum patient care d. Communication to other the providers and ancillary personnel concerning the patient encounter d. No, CDEOs review records on a proactive basis to prevent documentation deficiencies Clinical documentation improvemen...

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...

CDIP exam Prep, Domain 1 Questions and Answers 2024 Assign the best answer to complete the following sentence. The CPT codes for treatment of fracture: A.Use terminology "manipulation" rather than "reduction" of fracture B. Include internal fixation in all codes C. Do not include application of cast D. Do not differentiate between open and closed treatment.: CPT only specifies the site of the fracture. A. Use the terminology "manipulation" rather than "reduction" of fracture. ...

Denial Rate Number of Claims or line items denied / number of claims or lines items submitted Query Response Rate Number of Query Responses / Number of Queries Written Brainpower Read More Escalation Policy Provides a specific list of management and other authorities that must be contacted in the event of no response who works the working DRG Clinical documentation specialists Who assigns the final DRG Normally the coder Quality Audits A structured,...

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 the...

CDIP Questions and Answers Rated A+ CDI program data includes: 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: 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. ...

Urosepsis - Infection confined to the urinary system. Refers to pyuria or bacteria in the urine (not in the blood). Query the physician to determine if the bacteria in the urine has progressed to septicemia or sepsis. What year was TEFRA (Tax Equity and Fiscal Responsibility Act) implemented? - 1982 Query process and procedure should address: - 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 queri...