CDIP 무료 덤프문제 온라인 액세스

The most beneficial step to identify post-discharge query opportunities that affect severity of illness, risk of mortality and case weight is to

• A.identify normal diagnostic test results that may indicate a possible addition of a secondary diagnosis
• B.determine if only the treatment is documented and there is no diagnosis documented
• C.watch for reportable conditions or conditions that are unambiguous or otherwise complete
• D.look for documented conditions that have well supported accompanying clinical criteria

Reviewing and analyzing physician query content on a regular basis

• A.facilitates physician data collection
• B.helps to calculate query response rate
• C.aids in discussion between physician and reviewer
• D.assists in identifying gaps in skills and knowledge

The clinical documentation integrity practitioner (CDIP) is reviewing tracking data and has noted physician responses are not captured in the medical chart. What can be done to improve this process?

• A.Allow physician responses via e-mail
• B.Update medical records with unsigned physician responses
• C.Require the CDIP to call physicians to follow up
• D.Provide education to physicians on query process

Which of the following is an example of a hospital-acquired condition when not present on admission?

• A.Pressure ulcer stage III
• B.Iatrogenic pneumothorax with lung biopsy
• C.Pressure ulcer stage II
• D.Iatrogenic pneumothorax with venous catheterization

A 45-year-old female is admitted after sustaining a femur fracture. Orthopedics is consulted and performs an open reduction internal fixation (ORIF) of the femur without complication. Nursing documents the patient has a body mass index of 42 kg/m2. The clinical documentation integrity practitioner (CDIP) determines a query is needed to capture a diagnosis associated with the body mass index so it can be reported. Which of the following is the MOST compliant query based on the most recent AHIIMA/ACDIS query practice brief?

• A.Nursing documents the BMI is 42 kg/m2. In order to capture a co-morbid condition (CC) to increase reimbursement, please add 'morbid obesity with BMI 42 kg/m2' to your next progress note.
• B.Nursing documents the BMI is 42 kg/m2. Please consider if any of the following diagnoses should be added to the health record to support this finding: morbid obesity; obesity; other diagnosis (please state)
• C.Nursing documents the BMI is 42 kg/m2. Can you please clarify if the patient's morbid obesity was present on admission and add the diagnosis to future progress notes?
• D.Nursing documents the BMI is 42 kg/m2. To increase the severity of illness and risk of mortality, please add 'morbid obesity with BMI 42 kg/m2' to your next progress note.