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Certified Documentation Integrity Practitioner Questions 41–45 (page: 10)

Updated On: 10-Feb-2026

Which of the following may make physicians lose respect for clinical documentation integrity (CDI) efforts and disengage?

  1. CDI practitioners sending multiple queries to hospitalist physicians
  2. Inconsistent clinically relevant queries
  3. Providing many lectures, newsletters, tip sheets, and pocket cards for physician education
  4. The physician advisor/champion’s interventions with noncompliant physicians

Answer(s): B



Reviewing and analyzing physician query content on a regular basis

  1. aids in discussion between physician and reviewer
  2. assists in identifying gaps in skills and knowledge
  3. helps to calculate query response rate
  4. facilitates physician data collection

Answer(s): B



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?

  1. Emphasize the Medicare requirements for documentation
  2. Explanations on how severity of illness and risk of mortality impact reimbursement
  3. The latest Medicare Provider and Analysis Review data
  4. Examples from the hospital’s actual cases

Answer(s): B



A 77-year-old male with chronic obstructive pulmonary disease (COPD) is admitted as an inpatient with severe shortness of breath. The patient is placed on oxygen at 2 liters per minute via nasal cannula. History reveals that the patient is on oxygen nightly at home CXR is unremarkable. The most compliant query is

  1. Patient has COPD, and is on nocturnal oxygen at home and is on continuous oxygen since admission Please indicate if you are eating one of these diagnoses’ chronic respirator failure, acute respiratory failure, acute on chronic respiratory failure, unable to determine, other.
  2. Patient has COPD and is on oxygen every night at home and has been on continuous oxygen since admission, please document chronic respiratory failure, hypoxia, acute on chronic respiratory failure.
  3. Patient has COPD and is on oxygen every night at home and has been on continuous oxygen since admission. Based on these indications, please document chronic respiratory failure, acute respiratory failure, acute on chronic respiratory failure.
  4. Patient has COPD, and is on nocturnal oxygen at home and is on continuous oxygen since admission. Please order further tests so the patient’ severity of illness can be captured with the most accurate coding assignment.

Answer(s): A



Which of the following is used to measure the impact of a clinical documentation integrity (CDI) program on Centers for Medicare and Medicaid Services quality performance?

  1. Outcome measures
  2. Risk of mortality
  3. Severity of illness
  4. Case mix index

Answer(s): A



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