Chapter 5 Flashcards
1
Q
What is the primary tool for CDI?
A
query (clarification or inquiry)
2
Q
Prospective - what is it
A
before pt seen
3
Q
Concurrent
A
takes place while encounter is occurring
4
Q
retrospective
A
after the pt left - focus on education NOT target data thru queries
5
Q
Which type of reviews do OP use? Prospective, concurrent or retrospective
A
all 3
6
Q
When is a physician query permissible
A
support clarity and consistency w/in record - Also clinical relevance is KEY
7
Q
Who published “guidelines for achieving a compliant query practice”? Not the law, but represents highest existing level of compliance
A
AHIMA & ACDIS
8
Q
Retrospective review includes:
A
- Validation of the existence of opportunities for Doc Improv
- identification of key areas of focus
- targeting support strategies and tatics
