HIT 235 MODULE 6 QUIZ QUESTIONS ANSWERED CORRECTLY LATEST UPDATE 2026
What is the term used to describe the primary condition that is determined to be responsible for a
patient's admission according to hospital inpatient rules? - Answers Principal Diagnosis
As mentioned in the module lessons, in the outpatient setting, CDI specialists typically focus on
concurrent reviews which allows the opportunity to evaluate the medical necessity of all care being
provided. - Answers False
How can an inpatient CDI program impact an organization financially? - Answers Fewer unfavorable
audits will be experienced.
Which term does the ICD-10-CM Official Guidelines for Coding and Reporting use to define a
"physician or other qualified health care practitioner who is legally accountable for establishing the
patient's diagnosis?" - Answers Provider
AHIMA states queries cannot be generated by artificial intelligence (AI). - Answers False
How do attending physicians use information provided in ancillary reports? - Answers As the basis for
the changes in treatment plan
Which query is appropriate when establishing or negating a cause-and-effect relationship between
documented conditions such as manifestation/etiology, complications and conditions, and diagnostic
findings? - Answers Yes or No
What is the basis of clinical validation? - Answers Confirming a diagnosis meets a particular clinical
threshold
How many choices are necessary to constitute a compliant multiple-choice query? - Answers There is
no minimum
When measuring the success of an inpatient CDI activity, what should reviewers look for? - Answers
Corrective Measures
As described in the module lessons, if documentation does not support the code assigned, the
provider could be accused of ____________. - Answers Fraud
When is a Yes or No query appropriate? - Answers When determining "present" on admission status
What is the process of documenting actions to the highest level of detail to support the CPT or ICD-
10-PCS codes? - Answers Procedural Specificity
What must a query adhere to in order to be compliant? - Answers Non-leading Standards
Why is it important for medical records to describe the patient's progress and response to medication
and services? - Answers To support diagnosis and treatment
Which query using information from prior encounters may be utilized? - Answers When treatment
relevant to the admission has been documented in a prior encounter
Information provided by AHIMA indicates mining is reviewing a previous health record encounter
without a related trigger found in the current encounter. - Answers True
Which of the following is used to track how patients are responding to care, including changes in vital
signs and symptoms? - Answers Nursing Notes
Which type of query is written when the CDI specialist writes, "I reviewed the patient's last admission
three weeks ago and saw a notation that the patient had candidiasis of the mouth that was treated
with Miracle mouthwash. Please clarify and document in the progress notes if the patient still has the
condition." - Answers Leading
How can CDI specialists ensure the coding reflects the clinical picture of the patient's hospital stay? -
Answers By helping the coder understand the clinical perspective of the chat
What term describes the treatment performed for a definitive purpose rather than for diagnostic or
exploratory purposes? - Answers Principal Procedure
How does a DRG mismatch occur? - Answers The CDI specialist and coder do not have the same
diagnosis related group.
When should a query be issued when documentation describes or is associated with clinical
indicators? - Answers When there is no definitive relationship identified
Why are clinical indicators important for CDI specialists when there are gaps or discrepancies in
documentation? - Answers To get additional clarification from the provider
According to the module lessons, which is not a high-quality characteristic of clinical documentation?
- Answers Concise
A clinical validation query is a request for the provider to confirm the presence of a condition and
provide additional rationale per the module lessons. - Answers True
What is the term used to describe the primary condition that is determined to be responsible for a
patient's admission according to hospital inpatient rules? - Answers Principal Diagnosis
As mentioned in the module lessons, in the outpatient setting, CDI specialists typically focus on
concurrent reviews which allows the opportunity to evaluate the medical necessity of all care being
provided. - Answers False
How can an inpatient CDI program impact an organization financially? - Answers Fewer unfavorable
audits will be experienced.
Which term does the ICD-10-CM Official Guidelines for Coding and Reporting use to define a
"physician or other qualified health care practitioner who is legally accountable for establishing the
patient's diagnosis?" - Answers Provider
AHIMA states queries cannot be generated by artificial intelligence (AI). - Answers False
How do attending physicians use information provided in ancillary reports? - Answers As the basis for
the changes in treatment plan
Which query is appropriate when establishing or negating a cause-and-effect relationship between
documented conditions such as manifestation/etiology, complications and conditions, and diagnostic
findings? - Answers Yes or No
What is the basis of clinical validation? - Answers Confirming a diagnosis meets a particular clinical
threshold
How many choices are necessary to constitute a compliant multiple-choice query? - Answers There is
no minimum
When measuring the success of an inpatient CDI activity, what should reviewers look for? - Answers
Corrective Measures
As described in the module lessons, if documentation does not support the code assigned, the
provider could be accused of ____________. - Answers Fraud
When is a Yes or No query appropriate? - Answers When determining "present" on admission status
What is the process of documenting actions to the highest level of detail to support the CPT or ICD-
10-PCS codes? - Answers Procedural Specificity
What must a query adhere to in order to be compliant? - Answers Non-leading Standards
Why is it important for medical records to describe the patient's progress and response to medication
and services? - Answers To support diagnosis and treatment
Which query using information from prior encounters may be utilized? - Answers When treatment
relevant to the admission has been documented in a prior encounter
Information provided by AHIMA indicates mining is reviewing a previous health record encounter
without a related trigger found in the current encounter. - Answers True
Which of the following is used to track how patients are responding to care, including changes in vital
signs and symptoms? - Answers Nursing Notes
Which type of query is written when the CDI specialist writes, "I reviewed the patient's last admission
three weeks ago and saw a notation that the patient had candidiasis of the mouth that was treated
with Miracle mouthwash. Please clarify and document in the progress notes if the patient still has the
condition." - Answers Leading
How can CDI specialists ensure the coding reflects the clinical picture of the patient's hospital stay? -
Answers By helping the coder understand the clinical perspective of the chat
What term describes the treatment performed for a definitive purpose rather than for diagnostic or
exploratory purposes? - Answers Principal Procedure
How does a DRG mismatch occur? - Answers The CDI specialist and coder do not have the same
diagnosis related group.
When should a query be issued when documentation describes or is associated with clinical
indicators? - Answers When there is no definitive relationship identified
Why are clinical indicators important for CDI specialists when there are gaps or discrepancies in
documentation? - Answers To get additional clarification from the provider
According to the module lessons, which is not a high-quality characteristic of clinical documentation?
- Answers Concise
A clinical validation query is a request for the provider to confirm the presence of a condition and
provide additional rationale per the module lessons. - Answers True
