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CDI (Clinical Documentation Integrity) Documentation
*
1.
Are you a:
(Required.)
Physician
Non-physician
Other Advanced Practice (PA, CRNA, NP, etc.)
2.
Do you agree this activity met the outlined objective:
1. Define medical necessity according to CMS and commercial payer standards.
2.Identify key clinical indicators and documentation elements that support medical necessity for hospital admission and procedures
3. Differentiate between documentation that meets payer expectations and documentation that may lead to denials or downgrades.
4. Apply best practices in medical necessity documentation to accurately reflect patient acuity, severity of illness, and level of care.
5. Collaborate more effectively with Clinical Documentation Integrity (CDI) specialist to ensure alignment between clinical care and documented record.
6. Evaluate their own documentation for opportunities to improve clarity, specificity, and compliance with regulatory requirements.
All the objectives were met.
One or two of the objective were met.
None of the objectives were met.
3.
The quality of the educational process (method of presentation and information provided) was satisfactory and appropriate:
Strongly agree
Agree
Disagree
Strongly Disagree
4.
This educational activity will enhance my utilization of Clinical Documentation Integrity.
Strongly Agree
Agree
Disagree
Strongly Disagree
Not Applicable
5.
This educational activity will result in a change in my practice behavior:
Strongly Agree
Agree
Disagree
Strongly Disagree
Not Applicable
6.
Please describe any changes you plan to make:
7.
This information was presented without promotional or commercial bias:
Strongly Agree
Agree
Disagree
Strongly Disagree
8.
Do you feel this educational activity could improve your (check all that apply):
Competence
Performance
Patient Outcomes
Please explain how this activity could impact your Competence/Performance/Patient Outcomes:
9.
Which of the following competency areas do you feel have been improved by this activity, if any?
Patient Care
Medical Knowledge
Practice-Based Learning and Improvement
Interpersonal and Communication Skills
Professionalism
Systems-Based Practice (healthcare system as a whole and resources it provides for care)
10.
Are there any additional/related topics needed you have identified that would assist in improving your CDI documentation?