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Question 54/57
Which of the following clinical documentation integrity (CDI) dashboard metrics is frequently used to help evaluate the credibility of CDI practitioner queries and the success of the CDI program?
Correct Answer: D
Explanation
The provider agreement rate is the percentage of queries that result in a change in the documentation or coding that is consistent with the query. It is a measure of the accuracy and appropriateness of the queries, as well as the provider's acceptance of the CDI program's recommendations. A high provider agreement rate indicates that the CDI practitioners are asking relevant and compliant queries that improve the quality and specificity of the documentation. The other options are not directly related to the credibility of the queries or the success of the CDI program. The CDI agreement rate is the percentage of queries that agree with the coder's final DRG assignment. The CDI query rate is the percentage of records that generate a query from the CDI practitioner.
The provider response rate is the percentage of queries that receive a response from the provider.
The provider agreement rate is the percentage of queries that result in a change in the documentation or coding that is consistent with the query. It is a measure of the accuracy and appropriateness of the queries, as well as the provider's acceptance of the CDI program's recommendations. A high provider agreement rate indicates that the CDI practitioners are asking relevant and compliant queries that improve the quality and specificity of the documentation. The other options are not directly related to the credibility of the queries or the success of the CDI program. The CDI agreement rate is the percentage of queries that agree with the coder's final DRG assignment. The CDI query rate is the percentage of records that generate a query from the CDI practitioner.
The provider response rate is the percentage of queries that receive a response from the provider.
- Question List (57q)
- Question 1: An increase in claim denials has prompted a clinical documen...
- Question 2: Identify the error in the following query: This patient's ec...
- Question 3: While reviewing a chart, a clinical documentation integrity ...
- Question 4: For inpatients with a discharge principal diagnosis of acute...
- Question 5: The clinical documentation integrity (CDI) metrics recently ...
- Question 6: Which of the following diagnosis is MOST likely to trigger a...
- Question 7: A patient's progress note states "The patient has chronic sy...
- Question 8: A resident returns to the long-term care facility following ...
- Question 9: A hospital is conducting a documentation integrity project f...
- Question 10: What policies should query professionals follow?...
- Question 11: Which of the following may make physicians lose respect for ...
- Question 12: The clinical documentation integrity practitioner (CDIP) is ...
- Question 13: Hospital policy states that physician responses to queries s...
- Question 14: Which of the following is a clinical documentation integrity...
- Question 15: When there are comparative contrasting diagnoses supported b...
- Question 16: Which of the following should be shared to ensure a clear se...
- Question 17: A clinical documentation integrity practitioner (CDIP) is re...
- Question 18: Combination codes are used to classify two diagnoses, a diag...
- Question 19: Which of the following is considered a hospital-acquired con...
- Question 20: When queries are part of the health record, which of the fol...
- Question 21: A patient is admitted for chronic obstructive pulmonary dise...
- Question 22: The clinical documentation integrity (CDI) manager is review...
- Question 23: When writing a compliant query, best practice is to...
- Question 24: A clinical documentation integrity practitioner (CDIP) gener...
- Question 25: The best approach in resolving unanswered queries is to...
- Question 26: A 70-year-old severely malnourished nursing home patient is ...
- Question 27: A noncompliant query includes querying the provider regardin...
- Question 28: A clinical documentation integrity (CDI) program that is com...
- Question 29: A patient receives a blood transfusion after a 400 ml blood ...
- Question 30: What type of query may NOT be used in circumstances where on...
- Question 31: Which of the following may result in an incomplete health re...
- Question 32: The third quarter target concurrent physician query response...
- Question 33: A hospital noticed a 30% denial rate in Medicare claims due ...
- Question 34: When benchmarking with outside organizations, the clinical d...
- Question 35: A key physician approaches the director of the coding depart...
- Question 36: Given the following ICD-10-CM Alphabetical Index entry: Ecto...
- Question 37: Creating policies and procedures for the query process will ...
- Question 38: A 50-year-old male patient was admitted with complaint of 3-...
- Question 39: The provider was queried because the patient met clinical cr...
- Question 40: A 100-year-old female presents to the emergency department w...
- Question 41: A query should include
- Question 42: Patient is admitted with oliguria, pulmonary edema, and dehy...
- Question 43: Educating physicians on severity of illness and risk of mort...
- Question 44: A physician documented the specific site of the malignancy i...
- Question 45: An 80-year-old male is admitted as an inpatient to the ICU w...
- Question 46: Which of the following is the definition of an Excludes 2 no...
- Question 47: A 90-year-old female patient was admitted to emergency room ...
- Question 48: A 45-year-old female is admitted after sustaining a femur fr...
- Question 49: The key component of the auditing and monitoring process to ...
- Question 50: Whether or not queries should be kept as a permanent part of...
- Question 51: A clinical documentation integrity practitioner (CDIP) is lo...
- Question 52: The clinical documentation integrity (CDI) manager is meetin...
- Question 53: Collaboration between the physician advisor/champion and the...
- Question 54: Which of the following clinical documentation integrity (CDI...
- Question 55: A 50-year-old with a history of stage II lung cancer is brou...
- Question 56: Which of the following should an organization consider when ...
- Question 57: Which of the following should be examined when developing do...
