CDIP Physician Query Process 2

Question 1

Which of the following is an example of a NON-compliant physician query?

Accepted Answer

Listing only one diagnosis option with no alternative

Answer

Asking whether a condition meets the definition of sepsis

Answer

Presenting clinical indicators and asking for clarification

Answer

Providing multiple clinically supported options for the physician to choose

Question 2

What is the primary purpose of a concurrent physician query?

Accepted Answer

To clarify documentation while the patient is still admitted

Answer

To finalize the DRG after discharge

Answer

To correct a previously submitted claim

Answer

To obtain a second opinion on the diagnosis

Question 3

When a physician does not respond to a query, the CDI specialist should:

Accepted Answer

Escalate per facility policy and follow up appropriately

Answer

Code the condition as if the physician agreed

Answer

Automatically assign the highest-acuity diagnosis

Answer

Submit the claim without that diagnosis

Question 4

Which document type is generally considered the most appropriate medium for a compliant physician query?

Accepted Answer

Standardized written or electronic query form

Answer

Verbal-only communication with no written follow-up

Answer

Handwritten sticky note on the chart

Answer

Text message to the physician's personal phone

Question 5

A physician query requesting clarification on 'acute blood loss anemia' should be initiated when:

Accepted Answer

Clinical indicators such as low hemoglobin and transfusion are present but the condition is not documented

Answer

Any blood transfusion is administered

Answer

The patient's hemoglobin is within normal limits

Answer

A surgeon requests the query

Question 6

Which of the following best describes a 'multiple-choice' style physician query?

Accepted Answer

A query presenting several clinically supported diagnoses plus 'other' and 'unable to determine'

Answer

A query with only one diagnosis listed as an option

Answer

A query asking the physician to write a new note

Answer

A query that requires the physician to sign a form

Question 7

Post-discharge queries are typically appropriate in which scenario?

Accepted Answer

When clinical indicators present during the stay were not addressed and the documentation is unclear

Answer

Whenever the CDI specialist wants to improve the DRG after billing

Answer

Only when the payer requests a query

Answer

When the attending physician is unavailable during the stay