CDIP Domain 4: CDI Metrics and Statistics Exam |
Questions with 100% Correct Answers | Verified |
Latest Update 2026
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Terms in this set (52)
Denial Rate Number of Claims or line items denied
/ number of claims or lines items submitted
Query Response Rate Number of Query Responses
/ Number of Queries Written
Escalation Policy Provides a specific list of management and other
authorities that must be contacted in the event of
no response
who works the working DRG Clinical documentation specialists
Who assigns the final DRG Normally the coder
Quality Audits A structured, independent process to determine if
project activities comply with organizational and
project policies, processes, and procedures.
Policies for Queries When to Query, Who should Generate the query,
types of queries, who should answer, etc.
, What impacts quality Severity of Illness (SOI), Risk of Mortality (ROM),
Patient Safety Indicators (PSI) Potentially
Preventable Complications (PPC), Potentially
Preventable Admissions (PPA)
Pie Chart a chart that shows the relationship of a part to a
whole
Bar Chart a chart with bars whose lengths are proportional to
quantities
Histogram A graph of vertical bars representing the frequency
distribution of a set of data.
Table Format A Table of Data
Benchmarking A process of continuously measuring system
results, comparing those results to optimal system
performance (benchmark values), and identifying
steps and procedures to improve system
performance
Case Mix Index The average relative weight of all cases treated at a
given facility or by a given physician, which reflects
the resource intensity or clinical severity of a
specific group in relation to the other groups in the
classification system
CMI Calculation Total Weighted Volume
/ # of patients
Relative Weight Volume Relative Weight
* Volume
Questions with 100% Correct Answers | Verified |
Latest Update 2026
Save
Terms in this set (52)
Denial Rate Number of Claims or line items denied
/ number of claims or lines items submitted
Query Response Rate Number of Query Responses
/ Number of Queries Written
Escalation Policy Provides a specific list of management and other
authorities that must be contacted in the event of
no response
who works the working DRG Clinical documentation specialists
Who assigns the final DRG Normally the coder
Quality Audits A structured, independent process to determine if
project activities comply with organizational and
project policies, processes, and procedures.
Policies for Queries When to Query, Who should Generate the query,
types of queries, who should answer, etc.
, What impacts quality Severity of Illness (SOI), Risk of Mortality (ROM),
Patient Safety Indicators (PSI) Potentially
Preventable Complications (PPC), Potentially
Preventable Admissions (PPA)
Pie Chart a chart that shows the relationship of a part to a
whole
Bar Chart a chart with bars whose lengths are proportional to
quantities
Histogram A graph of vertical bars representing the frequency
distribution of a set of data.
Table Format A Table of Data
Benchmarking A process of continuously measuring system
results, comparing those results to optimal system
performance (benchmark values), and identifying
steps and procedures to improve system
performance
Case Mix Index The average relative weight of all cases treated at a
given facility or by a given physician, which reflects
the resource intensity or clinical severity of a
specific group in relation to the other groups in the
classification system
CMI Calculation Total Weighted Volume
/ # of patients
Relative Weight Volume Relative Weight
* Volume
