CDIP試験の準備方法｜効率的なCDIP日本語問題集試験｜実用的なCertified Documentation Integrity Practitioner日本語受験教科書

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AHIMAインターネットは社会を変えつつあり、距離はもはや障害ではありません。 CDIP試験シミュレーションは、公式ウェブサイトからダウンロードできます。公式ウェブサイトは、最もプロフェッショナルな実践教材を提供するプロフェッショナルプラットフォームです。 待つことなく15分以内に入手できます。JPTestKing、これらの高品質のCDIP準備資料：Certified Documentation Integrity Practitionerには膨大な投資が必要だと思われるかもしれません。 実際、私たちはあなたを私たちの練習教材からブロックする障壁を取り除きます。 すべてのタイプはあなたの希望に応じて有利な価格です。 あなたの手のひらの上でCDIP学習ガイドを入手すると、より高い成功率を達成できます。 また、個々のニーズを満たすために慎重に検討するための無料のデモがあります。

チャンスはいつも準備がある人のために存在しています。IT業界で就職する前に、あなたはAHIMAのCDIP試験に合格したら、あなたに満足させる仕事を探す準備をよくしました。AHIMAのCDIP試験に合格しがたいですが、我々JPTestKingの提供するAHIMAのCDIP試験の資料を通して多くの人は試験に合格しました。あなたはその中の一員になりたいですか。我々の商品にあなたを助けさせましょう。

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CDIP試験に合格したい場合、CDIP練習問題は欠席できない基本的な試験資料です。 忠実なお客様からは、CDIP練習教材の合格率がこれまでに98〜100％に達していることが証明されています。 また、CDIP試験トレントの無料アップデートが1年間無料でメールボックスに送信されます。CDIP練習資料の使用中に素晴らしい経験ができることを願っています。

AHIMA Certified Documentation Integrity Practitioner 認定 CDIP 試験問題 (Q25-Q30):

質問 # 25
Which of the following is a clinical documentation integrity (CDI) financial impact measure?

正解：C

解説：
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


質問 # 26
Which of the following falls under the False Claims Act?

正解：C

解説：
Explanation
Unbundling services falls under the False Claims Act because it is a form of coding fraud that involves billing separately for components of a related group of procedures or tests that should be billed as a single code. For example, if a provider performs a comprehensive metabolic panel, which is a blood test that measures several components of the blood, such as glucose, electrolytes, and liver enzymes, and bills for each component individually instead of using the single code for the panel, that is unbundling. Unbundling services can result in overpayment by the government and can violate the False Claims Act, which prohibits submitting false or fraudulent claims for payment to the government, including the Medicare and Medicaid programs. Violators of the False Claims Act can face civil penalties of up to three times the amount of the false claim plus an additional $11,000 per claim 23.
References: 1: AHIMA CDIP Exam Prep, Fourth Edition, p. 133 4 2: Coding Fraud | VSG 5 3: False Claims Act | OIG 2


質問 # 27
Which of the following demonstrates the relative severity and complexity of patient treated in the hospital, and is used to evaluate the financial impact of a hospital's clinical documentation integrity (CDI) program?

正解：D

解説：
Explanation
According to the AHIMA CDIP Exam Preparation Guide, the adjusted case mix index (CMI) is a measure that demonstrates the relative severity and complexity of patients treated in a hospital, and is used to evaluate the financial impact of a hospital's clinical documentation integrity (CDI) program1. The adjusted CMI is calculated by multiplying the unadjusted CMI by a factor that accounts for the percentage of Medicare patients in the hospital2. The higher the adjusted CMI, the higher the expected reimbursement per patient, and the more effective the CDI program is assumed to be3. The other options are not correct because they do not measure the severity and complexity of patients or the financial impact of CDI. Hospital acquired conditions (HACs) are conditions that are not present on admission and are considered preventable by CMS, and may result in reduced reimbursement or penalties4. The program for evaluating payment patterns electronic report (PEPPER) is a report that provides hospital-specific data on potential overpayments or underpayments for certain services or diagnoses, and helps identify areas of risk or opportunity for improvement. Present on admission (POA) indicators are codes that indicate whether a condition was present at the time of admission or acquired during the hospital stay, and affect the assignment of DRGs and HACs. References:
CDIP Exam Preparation Guide - AHIMA
Demystifying and communicating case-mix index - ACDIS
What is Case Mix Index? | The Importance of CMI
Hospital-Acquired Conditions (HACs) | CMS
[PEPPER Resources]
[Present on Admission Reporting Guidelines - CMS]


質問 # 28
The clinical documentation integrity (CDI) manager reviewed all payer refined-diagnosis related groups (APR-DRG) benchmarking data and has identified potential opportunities for improvement. The manager hopes to develop a work plan to target severity of illness (SOI)/risk of mortality (ROM) by service line and providers. How can the manager gain more information about this situation?

正解：A

解説：
Explanation
APR-DRGs are a patient classification system that assigns each inpatient stay to one of more than 300 base APR-DRGs, and then further stratifies each base APR-DRG into four levels of severity of illness (SOI) and risk of mortality (ROM), based on the number, nature, and interaction of complications and comorbidities (CCs) and major CCs (MCCs). SOI reflects the extent of physiologic decompensation or organ system loss of function, while ROM reflects the likelihood of dying. Both SOI and ROM are used to adjust payment rates, quality indicators, and performance measures for hospitals and other healthcare providers.
The CDI manager can gain more information about the potential opportunities for improvement by auditing focused APR-DRGs that have a high impact on SOI/ROM levels, such as those that have a large variation in relative weights across the four severity levels, or those that have a high frequency or volume of cases. The audit can help identify the documentation gaps, inconsistencies, or inaccuracies that may affect the assignment of SOI/ROM levels, such as missing, vague, or conflicting diagnoses, procedures, or clinical indicators. The audit can also help evaluate the CDI team's performance in terms of query rate, response rate, agreement rate, and accuracy rate. Based on the audit findings, the CDI manager can develop an education plan for both the CDI team and the physicians to address the specific documentation improvement areas and provide feedback and guidance on best practices.
A: Audit cases for missed diagnosis by the CDI practitioner to target in the education plan. This is not the best way to gain more information about the situation, because it may not capture all the factors that affect SOI/ROM levels, such as procedures, clinical indicators, or interactions among diagnoses. It may also focus only on the CDI practitioner's performance, without considering the physician's role in documentation quality and completeness.
B: Audit focused cases by physicians that have a higher SOI/ROM for education plan. This is not a valid way to gain more information about the situation, because it may not identify the documentation improvement opportunities for cases that have a lower SOI/ROM than expected, based on their clinical complexity and acuity. It may also create a perception of bias or favoritism among physicians, if only some are selected for audit and education.
C: Audit cases that have high SOI/ROM assigned by coders for education and follow-up. This is not a reliable way to gain more information about the situation, because it may not reflect the true SOI/ROM levels of the cases, if there are errors or discrepancies in coding or grouping. It may also overlook the documentation improvement opportunities for cases that have low SOI/ROM assigned by coders, despite having high clinical complexity and acuity.
References:
CDIP Exam Preparation Guide, 2021 Edition. AHIMA Press. ISBN: 9781584268530
3M™ All Patient Refined Diagnosis Related Groups (APR DRGs) | 3M United States Q&A: Understanding SOI and ROM in the APR-DRG system | ACDIS Use SOI/ROM scores to enhance CDI program effectiveness | ACDIS


質問 # 29
A hospital administrator has hired a clinical documentation integrity (CDI) firm to improve its revenue objectives. The physicians object to this action. How should the firm collaborate with physicians to overcome their objections?

正解：A

解説：
Explanation
A physician advisor/champion is a physician leader who supports and advocates for the CDI program and its objectives. A physician advisor/champion can help overcome the objections of other physicians by providing education, feedback, guidance, and mentorship on documentation best practices and their impact on revenue, quality, and patient care. A physician advisor/champion can also act as a liaison between the CDI firm and the medical staff, resolve conflicts or discrepancies in documentation, and foster a culture of collaboration and improvement. Physicians are more likely to trust and engage with their peers who understand their clinical perspective and challenges, rather than an external CDI firm that may be perceived as intrusive or disruptive.
A:Create a vision statement that outlines the project objectives. This is not sufficient to collaborate with physicians and overcome their objections. A vision statement is a general statement that describes the desired outcome of the project, but it does not address the specific concerns or questions that physicians may have about the CDI firm's role, methods, or benefits.
B:Communicate the benefits of the CDI firm about the project. This is not enough to collaborate with physicians and overcome their objections. Communicating the benefits of the CDI firm may be informative, but it may not be persuasive or credible if it comes from the CDI firm itself, without any endorsement or support from a physician leader within the organization.
C: Hire a consultant to communicate the benefits to the physicians. This is not a good way to collaborate with physicians and overcome their objections. Hiring a consultant may add another layer of complexity and cost to the project, and it may not improve the trust or relationship between the CDI firm and the physicians. A consultant may also lack the clinical expertise or authority to influence the physicians' behavior or attitude.
References:
CDIP Exam Preparation Guide, 2021 Edition. AHIMA Press. ISBN: 9781584268530 Q&A: Defining roles for physician advisor/champion | ACDIS Q&A: The Role of the Physician Advisor in CDI | ACDIS The Role of a Physician Advisor - UASI Solutions PA/NP in Physician Champion / Advisor Role - ACDIS Forums


質問 # 30
......

中国でこのような諺があります。天がその人に大任を降さんとする時、必ず先ず困窮の中におきてその心志を苦しめ、その筋骨を労し、その体膚を餓やし、その身を貧困へと貶めるのである。この話は現在でも真です。しかし、成功には方法がありますよ。正確な選択をしたら、そんなに苦労しなくても成功することもできます。JPTestKingのAHIMAのCDIP試験トレーニング資料はIT職員を対象とした特別に作成されたものですから、IT職員としてのあなたが首尾よく試験に合格することを助けます。もしあなたは試験に準備するために知識を詰め込み勉強していれば、間違い方法を選びましたよ。こうやってすれば、時間とエネルギーを無駄にするだけでなく、失敗になるかもしれません。でも、今方法を変えるチャンスがあります。早くJPTestKingのAHIMAのCDIP試験トレーニング資料を買いに行きましょう。その資料を手に入れたら、異なる人生を取ることができます。運命は自分の手にあることを忘れないでください。

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つまり、ネットワークのない場所でも、CDIP日本語受験教科書 - Certified Documentation Integrity Practitioner最新練習問題を使用することができます、そのため、情報の特性に従って次のCDIP学習ガイドを入手できる場合は、目覚ましい進歩を遂げてください、AHIMA CDIP日本語問題集 PDF版は、Adobe ReaderやOpenOffice、Foxit Reader、Google Docsなどの読書ツールに読むことができます、JPTestKing CDIP日本語受験教科書は消費者の皆さんの許可を得て、評判が良いです、有効なCDIP試験ガイドを暗記するのは試験にパスするショートカットです、AHIMA CDIP日本語問題集 時間を割いて、いくつかの時間を費やして見てください。

一度でいいとちゃんと言ったぞ、俺は、短い発情期の間に何度、彼にイカされたことだろう、つまり、ネットワークのない場所でも、Certified Documentation Integrity Practitioner最新練習問題を使用することができます、そのため、情報の特性に従って次のCDIP学習ガイドを入手できる場合は、目覚ましい進歩を遂げてください。

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PDF版は、Adobe ReaderやOpenOffice、Foxit Reader、Google Docsなどの読書ツールに読むことができます、JPTestKingは消費者の皆さんの許可を得て、評判が良いです、有効なCDIP試験ガイドを暗記するのは試験にパスするショートカットです。

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