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Last Updated: Jul 23, 2026
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| Section | Weight | Objectives |
|---|---|---|
| Compliance | - Audit readiness and documentation integrity standards - Regulatory compliance and ethical documentation practices | |
| Clinical Coding Practice | 15–18% | - Coding fundamentals and guidelines application - DRG assignment and reimbursement concepts - Diagnosis and procedure code assignment and sequencing |
| CDI Metrics and Statistics | - Quality and outcome measurement (SOI/ROM) - Performance metrics and reporting | |
| Education and Leadership Development | 21–26% | - CDI project development and physician engagement - Provider education and interdisciplinary communication - CDI program leadership and organizational collaboration |
| Record Review and Document Clarification | 24–28% | - Clinical documentation review and gap identification - Post-discharge review and documentation validation - Provider query development and compliance |
1. What is the term used when a patient is entered in the Master Patient Index (MPI) multiple times, in different ways, resulting in multiple medical record numbers?
A) Overlap
B) Replica
C) Facsimile
D) Clone
2. The clinical documentation integrity (CDI) team in a hospital is initiating a project to change the unacceptable documentation behaviors of some physicians. What strategy should be part of a project aimed at improving these behaviors?
A) Expand use of coding queries by CDI team
B) Encourage physician-nurse cooperation
C) Alter the physician documentation requirements
D) Add a physician advisor/champion to the CDI team
3. Which of the following committees should determine the chain of comnfand that will be used to manage physicians who are either unresponsive or uncooperative with the clinical documentation integrity (CDI) program?
A) Operations
B) Oversight
C) Compliance
D) Communications
4. When benchmarking with outside organizations, the clinical documentation integrity practitioner (CDIP) must determine if the organization is benchmarking with which of the following criteria?
A) Hospital within its state
B) Hospital within its county
C) Hospitals that are its peers
D) Hospital within its region
5. In order to best demonstrate the impact of clinical documentation on severity of illness and risk of mortality, which of the following examples is the most effective for physicians in a hospital?
A) Examples from the hospital's actual cases
B) Explanations on how severity of illness and risk of mortality impact reimbursement
C) Emphasize the Medicare requirements for documentation
D) The latest Medicare Provider and Analysis Review data
Solutions:
| Question # 1 Answer: A | Question # 2 Answer: D | Question # 3 Answer: B | Question # 4 Answer: C | Question # 5 Answer: A |
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