RHIT Compliance Domain 3 Practice Test

Session length

1 / 20

What aspect do CDI programs collaborate with UM programs to improve?

Patient engagement through education materials

Clinical denials due to medical necessity

The collaboration between Clinical Documentation Improvement (CDI) programs and Utilization Management (UM) programs primarily focuses on addressing clinical denials due to medical necessity. CDI programs work to ensure that medical records accurately reflect the patient's clinical status and the services provided. This accurate documentation is crucial for justifying the medical necessity of services, which is a key factor in reducing denials from payers.

When CDI and UM teams work together, they can ensure that the documentation meets the payer's requirements and clearly demonstrates the necessity of the healthcare services rendered. By improving the accuracy of clinical documentation, these collaborative efforts help in preventing denials related to medical necessity and enhance the overall revenue cycle of healthcare organizations.

Options that mention patient engagement, technological advancements, or patient admission rates do not directly relate to the specific focus on clinical denials as the primary concern in the collaboration between CDI and UM.

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Technological advancements in Telehealth

Patient admission rates

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