PRACTICE QUIZ: CLINICAL
DOCUMENTATION IMPROVEMENT
TEST WITH QUESTIONS AND 100%
CORRECT ANSWERS APPROVED BY
EXPERT 2025 LATEST UPDATE.
Which of the following do not usually perform the function of clinical documentation
improvement?
Answer: Auditors
Clinical documentation improvement reviews are performed _____.
Answer: Both concurrently and retrospectively
What should a coder do when a CC or MCC is inferred from treatment, testing, and other
documentation but not clearly documented as a diagnosis?
Answer: Initiate a post-discharge query
Optimal DRG assignment is based on _____.
Answer: Principal diagnosis, procedures performed, and certain secondary diagnoses
Coding maximization is sometimes called _____.
Answer: Upcoding
True/False: The use of yes/no physician queries is encouraged.
DOCUMENTATION IMPROVEMENT
TEST WITH QUESTIONS AND 100%
CORRECT ANSWERS APPROVED BY
EXPERT 2025 LATEST UPDATE.
Which of the following do not usually perform the function of clinical documentation
improvement?
Answer: Auditors
Clinical documentation improvement reviews are performed _____.
Answer: Both concurrently and retrospectively
What should a coder do when a CC or MCC is inferred from treatment, testing, and other
documentation but not clearly documented as a diagnosis?
Answer: Initiate a post-discharge query
Optimal DRG assignment is based on _____.
Answer: Principal diagnosis, procedures performed, and certain secondary diagnoses
Coding maximization is sometimes called _____.
Answer: Upcoding
True/False: The use of yes/no physician queries is encouraged.
