CDIP CDI Metrics and Statistics 2

Question 1

Which metric best reflects the effectiveness of a CDI specialist in capturing additional diagnoses during a hospitalization?

Accepted Answer

CC/MCC capture rate

Answer

CC/MCC capture rate measures how often CDI specialists successfully identify and document complication or comorbidity diagnoses that affect MS-DRG assignment.

Question 2

A CDI department tracks the number of queries that result in a documentation change versus total queries issued. This is called the:

Accepted Answer

Agreement rate

Answer

The agreement rate (or compliance rate) measures the percentage of physician queries that result in an actual documentation change.

Question 3

When calculating Case Mix Index (CMI), which data source is most authoritative for benchmarking a hospital's performance?

Accepted Answer

CMS Medicare Provider Analysis and Review (MedPAR) data

Answer

CMS MedPAR data provides standardized national benchmarks for CMI comparison across similar hospitals.

Question 4

A hospital's CDI team wants to measure how often records are reviewed before the patient is discharged. Which metric does this describe?

Accepted Answer

Concurrent review rate

Answer

Concurrent review rate tracks the percentage of eligible inpatient records reviewed while the patient is still admitted.

Question 5

Which of the following would MOST likely indicate a CDI program is under-performing in capturing present on admission (POA) indicators?

Accepted Answer

Elevated HAC penalty rates

Answer

Elevated Hospital-Acquired Condition (HAC) penalty rates often reflect inaccurate or missing POA indicators, which CDI is responsible for improving.

(CDIP) Certified Documentation Improvement Practitioner Practice Test

(CDIP) Certified Documentation Improvement Practitioner Practice Test

CDIP CDI Metrics and Statistics 2