Clinical documentations Study guides, Class notes & Summaries

Clinical Documentation Toolkit Questions and Answers 2024 What is CDI? Any manual or electronic notation made by a clinical care provider or their authorized "medical scribe." What is the purpose of CDI? The diagnosis and procedures documented in the record need to be clearly supported by clinical indicators so that the ICD-10-CM/PCS codes assigned are accurate and correctly assigned. Written Query The method of clarification used by CDI professionals. Verbal and electronic a...

CDIP Toolkit (Clinical Documentation Improvement Toolkit AHIMA) with Complete Solutions CDIP Toolkit (Clinical Documentation Improvement Toolkit AHIMA) with Complete Solutions CDIP Toolkit (Clinical Documentation Improvement Toolkit AHIMA) with Complete Solutions recent drivers of CDI (p2) - ANSWER-- MS-DRGs 2007 to reflect SOI/ROM - POA indicators 2008 - Medicare Advantage/Part C (capitated, HCC) - some payers moving to APR DRGs - compliance reviews: RAC, Zone Program Integri...

CCS Exam Practice Questions Domain 1: Clinical Documentation with Complete SolutionsCCS Exam Practice Questions Domain 1: Clinical Documentation with Complete SolutionsCCS Exam Practice Questions Domain 1: Clinical Documentation with Complete Solutions b. myocardial infarction - ANSWER-1. The patient was admitted from the emergency department because of chest pain. Following blood work, it was determined that the patient had elevated CPKs and MB enzymes. The EKG shows nonspecific ST changes. ...

Clinical Documentation Improvement (CDI) With Complete Solutions.

Flowsheets activity - ANS Where do nurse do the majority of their documentation for a patient? Template (Flowsheet templates, Flowsheet tabs) - ANS Used to organize different types of documentation; seen as tabs within the activity; used to group similar categories of documentation together. FLT master file - ANS Each flowsheet template is a record in which master file? FLO master file - ANS Groups & Rows are records in which master file? Group (Flowsheet Group) - ANS ...

Flowsheets activity - ANS Where do nurse do the majority of their documentation for a patient? Template (Flowsheet templates, Flowsheet tabs) - ANS Used to organize different types of documentation; seen as tabs within the activity; used to group similar categories of documentation together. FLT master file - ANS Each flowsheet template is a record in which master file? FLO master file - ANS Groups & Rows are records in which master file? Group (Flowsheet Group) - ANS Used to organize in...

Flowsheets activity - ANSWER Where do nurse do the majority of their documentation for a patient? Template (Flowsheet templates, Flowsheet tabs) - ANSWER Used to organize different types of documentation; seen as tabs within the activity; used to group similar categories of documentation together. FLT master file - ANSWER Each flowsheet template is a record in which master file? FLO master file - ANSWER Groups & Rows are records in which master file? Group (Flowsheet Group) - ANSWER Used ...

INP402 EpicCare Inpatient Clinical Documentation Administration Questions And Answers 2024 1 / 4 True of False? Cascading Flowsheets are useful only for facilities that choose to chart to a definition Planning ahead is an important part of building assessment flowsheets. Name two pieces of information you must capture when planning or diagramming an assessment flowsheet with cascading rows and groups. To create a custom formula row, the builder needs to tell the system which ro...