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* 1. Does your CDI program employ a physician advisor(s)?

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* 2. Are you the physician advisor at your program?

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* 3. Which of the following best correlates to your current position?

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* 4. What is your CDI program's reporting structure?

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* 5. Which of the following best describes your physician advisor?

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* 6. Which of the following best represents the CDI physician advisor's area of clinical concentration?

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* 7.

Is your physician advisor currently:


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* 8. Which of the following best represents any additional professional roles of the CDI physician advisor?

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* 9. Does the CDI physician advisor also have responsibilities to any of the following additional departments? (Check all that apply.)

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* 10. Please list any additional committee or reporting obligations the CDI physician advisor may have.

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* 11. Please indicate any other relevant degrees or certifications the CDI physician advisor holds.

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* 12. How long has your CDI program had a physician advisor involved/employed?

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* 13. How long has your CDI program been in place at your facility?

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* 14. How many physician advisors does your facility employ?

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* 15. How many hours per week is your physician advisor dedicated to CDI related efforts?

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* 16. Please rate the effectiveness of your physician advisor(s).

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* 17. What criteria does your facility use to evaluate its physician advisor(s) effectiveness?

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* 18. How is the CDI physician advisor compensated?

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* 19. If salaried, what is the salary range of the CDI physician advisor(s)?

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* 20. Did your physician advisor receive CDI specific training?

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* 21. Did your physician advisor receive specific coding training?

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* 22. What are your physician advisor’s responsibilities? (Check all that apply.)

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* 23. What is the average referral rate of cases to your CDI physician advisor for review (% of total reviews)?

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* 24. Does your CDI program have an escalation policy in place?

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* 25. If your CDI program has an escalation policy in place, what role does your physician advisor play?

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* 26. Is your physician advisor a member of ACDIS?

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