Physician Query Process Flashcards
7 cards from real CDIP practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Physician Query Process flashcards as text
Which of the following is an example of a NON-compliant physician query?
Answer: Listing only one diagnosis option with no alternative
A query that lists only one diagnosis without alternatives is considered leading and therefore non-compliant.
What is the primary purpose of a concurrent physician query?
Answer: To clarify documentation while the patient is still admitted
Concurrent queries are issued during the patient's stay to clarify documentation in real time, improving accuracy before discharge.
When a physician does not respond to a query, the CDI specialist should:
Answer: Escalate per facility policy and follow up appropriately
Non-response should be handled according to facility-specific escalation policies rather than by assuming a response.
Which document type is generally considered the most appropriate medium for a compliant physician query?
Answer: Standardized written or electronic query form
Standardized written or electronic query forms provide a consistent, auditable, and compliant method for physician communication.
A physician query requesting clarification on 'acute blood loss anemia' should be initiated when:
Answer: Clinical indicators such as low hemoglobin and transfusion are present but the condition is not documented
Queries are appropriate when clinical evidence supports a condition that the physician has not explicitly documented.
Which of the following best describes a 'multiple-choice' style physician query?
Answer: A query presenting several clinically supported diagnoses plus 'other' and 'unable to determine'
Multiple-choice queries present several plausible diagnoses supported by clinical evidence, including options for 'other' and 'unable to determine' to avoid leading the physician.
Post-discharge queries are typically appropriate in which scenario?
Answer: When clinical indicators present during the stay were not addressed and the documentation is unclear
Post-discharge queries are justified when clinical evidence existed during the stay but documentation was not clarified before discharge.