CDIP Technology and Health Information Systems 2

Question 1

Which data element within an EHR is the CDI specialist MOST likely to use as a trigger for initiating a record review?

Accepted Answer

Laboratory values indicating organ dysfunction such as elevated creatinine or lactic acid

Answer

Dietary preferences documented by nursing

Answer

Patient's primary insurance plan type

Answer

Scheduled therapy appointments

Question 2

What is the role of an encoder in the CDI and coding workflow?

Accepted Answer

It translates clinical diagnoses and procedures into ICD-10-CM/PCS codes and calculates DRG assignments

Answer

It directly queries physicians on behalf of CDI specialists

Answer

It schedules concurrent review assignments for CDI staff

Answer

It transmits insurance eligibility data to payers

Question 3

Which health information technology standard BEST ensures that data exchanged between a hospital EHR and an external CDI analytics platform is structured and readable?

Accepted Answer

HL7 FHIR (Fast Healthcare Interoperability Resources)

Answer

DICOM imaging protocol

Answer

HIPAA Privacy Rule

Answer

OSHA occupational safety regulations

Question 4

A CDI program wants to use predictive analytics to identify patients at high risk for a secondary diagnosis. Which data source would provide the MOST actionable input?

Accepted Answer

Aggregated clinical indicators such as vital signs trends, medication orders, and lab results fed into a risk-stratification model

Answer

Patient billing address

Answer

Number of family visitors per day

Answer

Physician board certification year

Question 5

How does computer-assisted coding (CAC) technology support the CDI workflow?

Accepted Answer

It suggests diagnosis and procedure codes from clinical documentation, which CDI specialists and coders validate and confirm

Answer

It permanently assigns final codes without coder or CDI review

Answer

It replaces the need for ICD-10 training

Answer

It bills payers directly without a coding review step

Question 6

Which approach BEST protects the integrity of CDI query data stored within an EHR system?

Accepted Answer

Implementing role-based access controls so only authorized CDI staff and physicians can create, view, or respond to queries

Answer

Allowing all clinical staff unrestricted access to query records

Answer

Storing queries in a separate paper file outside the EHR

Answer

Deleting queries once the physician responds

Question 7

When evaluating CDI software for a hospital, which capability should be weighted MOST heavily from a compliance perspective?

Accepted Answer

The system's ability to generate compliant, non-leading query templates aligned with AHIMA/ACDIS guidelines

Answer

Vendor's social media presence

Answer

Integration with food service ordering

Answer

Built-in physician scheduling module