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

A query that lists only one diagnosis without alternatives is considered leading and therefore non-compliant.

Question 2

What is the primary purpose of a concurrent physician query?

Accepted Answer

To clarify documentation while the patient is still admitted

Answer

Concurrent queries are issued during the patient's stay to clarify documentation in real time, improving accuracy before discharge.

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

Non-response should be handled according to facility-specific escalation policies rather than by assuming a response.

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

Standardized written or electronic query forms provide a consistent, auditable, and compliant method for physician communication.

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

Queries are appropriate when clinical evidence supports a condition that the physician has not explicitly documented.

(CDIP) Certified Documentation Improvement Practitioner Practice Test