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Question 14/57
Which of the following is a clinical documentation integrity (CDI) financial impact measure?
Correct Answer: C
Explanation
Case mix index (CMI) is a measure of the average severity and resource consumption of a group of patients, such as those in a hospital or a diagnosis-related group (DRG). CMI reflects the financial impact of CDI by showing how documentation improvement can affect the DRG assignment and reimbursement. A higher CMI indicates more complex and costly cases, while a lower CMI indicates less complex and costly cases. CDI programs can monitor the changes in CMI over time to evaluate their effectiveness and return on investment. (Understanding CDI Metrics2) References:
CDI Week 2020 Q&A: CDI and key performance indicators1
Understanding CDI Metrics2
Case mix index (CMI) is a measure of the average severity and resource consumption of a group of patients, such as those in a hospital or a diagnosis-related group (DRG). CMI reflects the financial impact of CDI by showing how documentation improvement can affect the DRG assignment and reimbursement. A higher CMI indicates more complex and costly cases, while a lower CMI indicates less complex and costly cases. CDI programs can monitor the changes in CMI over time to evaluate their effectiveness and return on investment. (Understanding CDI Metrics2) References:
CDI Week 2020 Q&A: CDI and key performance indicators1
Understanding CDI Metrics2
- 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...
