1. What is the main goal of CDI (clinical documentation

improvement) in health care organizations?

a) To ensure accurate coding and billing for services

provided

b) To enhance the quality and safety of patient care

c) To facilitate communication and collaboration among

health care providers

d) *All of the above*

Rationale: CDI aims to improve the completeness, clarity,

and accuracy of clinical documentation, which can benefit

coding and billing, quality and safety, and communication

and collaboration.

2. Which of the following is an example of a CDI query to

a health care provider?

a) *Please specify the type and acuity of the patient's heart

failure.*

b) Please document the patient's blood pressure and pulse

rate.

c) Please order a chest x-ray for the patient with

pneumonia.

d) Please discharge the patient with a diagnosis of acute

bronchitis.

Rationale: A CDI query is a request for clarification or

additional information from a health care provider to

improve the documentation of a clinical condition or

treatment. Option a is a CDI query that asks for more

specificity about the patient's heart failure.