CDIP問題集、AHIMA実際の試験問題

質問 1

Which member of the clinical documentation integrity (CDI) team can help provide peer-to-peer level of education on the importance of accurate documentation and query responses?

A. Physician advisor/champion

B. CDI practitioner

C. Chief Financial Officer

D. CDI manager

正解: A

解説: (PassTest メンバーにのみ表示されます)

質問 2

The clinical documentation integrity (CDI) manager is meeting with a steering committee to discuss the adoption of a new CDI program. The plan is to use case mix index (CMI) as a metric of CDI performance.
How will this metric be measured?

A. Over time with a focus on particular documentation improvement areas in addition to the overall CMI

B. Month-to-month to show CMI variability as a barometer of a specific month

C. Over time with a focus on high relative weight (RW) procedures that impact these procedures on overall CMI

D. Month-to-month and focus on patient volumes to determine the raise the overall CMI

正解: A

解説: (PassTest メンバーにのみ表示されます)

質問 3

Patient is admitted with oliguria, pulmonary edema, and dehydration. Labs are remarkable for an elevated creatinine of 2.4, with a baseline of 1.1. Patient was hydrated for 48 hours with drop in creatinine. What would the appropriate action be?

A. Code acute renal failure since symptoms are there and documented

B. No query is needed because the patient was dehydrated

C. Query the physician to see if acute renal failure is clinically supported

D. Query the physician to see if acute renal failure with tubular necrosis is supported

正解: C

解説: (PassTest メンバーにのみ表示されます)

質問 4

Which of the following indicates a noncompliant multiple-choice query? One that does NOT

A. include the option of "unable to determine"

B. include at least four options

C. allow the provider to add their own response

D. list options in alphabetical order

正解: B

解説: (PassTest メンバーにのみ表示されます)

質問 5

Which of the following is the definition of an Excludes 2 note in ICD-10-CM?

A. Two codes can be used together to completely describe the condition

B. Only one code can be assigned to completely describe the condition

C. This is not a convention found in ICD-10-CM

D. Neither of the codes can be assigned

正解: A

解説: (PassTest メンバーにのみ表示されます)

質問 6

When there are comparative contrasting diagnoses supported by clinical criteria, the correct action is to

A. code the first condition listed

B. code both diagnoses

C. query for clarification

D. not code either diagnosis

正解: B

解説: (PassTest メンバーにのみ表示されます)

質問 7

While reviewing a chart, a clinical documentation integrity practitioner (CDIP) needs to access the general rules for the ICD-10-CM Includes Notes and Excludes Notes
1 and 2. Which coding reference should be used?

A. AMA CPT Assistant

B. Faye Brown's Coding Handbook

C. ICD-10-CM Official Guidelines for Coding and Reporting

D. AHA Coding Clinic for ICD-10-CM

正解: C

解説: (PassTest メンバーにのみ表示されます)

質問 8

Which of the following may make physicians lose respect for clinical documentation integrity (CDI) efforts and disengage?

A. CDI practitioners sending multiple queries to hospitalist physicians

B. Providing many lectures, newsletters, tip sheets, and pocket cards for physician education

C. The physician advisor/champion's interventions with noncompliant physicians

D. Inconsistent clinically relevant queries

正解: D

解説: (PassTest メンバーにのみ表示されます)

質問 9

A patient was admitted for high fever and pain in umbilical region. During the second day of the hospital stay, the patient stood up to use the restroom and fell on the floor, resulting in a broken chin bone. A physician noted the fall on the second day in progress note. Which further clarification should be done regarding present on admission (POA) indicator of fall?

A. Query physician for POA

B. Bring this case up in weekly Health Information Management meetings for further action

C. Take the case to physician advisor/champion to discuss further action

D. No query is needed

正解: A

解説: (PassTest メンバーにのみ表示されます)

AHIMA Certified Documentation Integrity Practitioner - CDIP 模擬練習