As part of the CDI implementation plan, data analysis and audit are conducted to identify areas of focus around claims submission, such as coding errors due clinical documentation gaps or inaccurate code assignment. Which of the following types of analysis can assist in correcting compliance issues identified?

Often charge capture errors occur because the description is misinterpreted and an incorrect service item is selected. What is the root cause of this issue?

The act that provides healthcare coverage for eligible children through the Medicaid and Children’s Health Insurance Programs administered by the states based on federal requirements is:

The benefits of an outpatient CDI program are far reaching and include more accurate reimbursement and procedure code and APC assignment as well as decreased denials, decreased AR days, and __________.

A patient taking phenytoin for seizure management reports gingival hyperplasia and unsteady gait. What should the nurse do next?

The OIG has developed a series of guidance documents for voluntary compliance programs in hospitals, small group physician practices, and third-party medical billing companies. This guidance recommends that organizations self-audit claims to ensure which of the following standards is met?

A nurse is implementing seizure precautions for a patient admitted with epilepsy. Which intervention is most appropriate?

The skill sets and qualifications of the outpatient clinical documentation specialist include knowledge of the vast array of disease and procedure classifications, technology solutions, quality measurement programs in the ambulatory healthcare industry today, and what other subject area?

A nurse is explaining how levodopa/carbidopa works in Parkinsons disease. What is the primary function of carbidopa in this medication combination?

If you wanted to determine the population-based incidence of Juvenile Rheumatoid Arthritis (JRA) in Wisconsin.  JRA is a rare chronic disease. What type of study would you conduct (select best response)?