LATEST CCDS FINAL EXAM NEWEST
ACTUAL EXAM WITH COMPLETE 100
QUESTIONS AND DETAILED ANSWERS
RATED A | BRAND NEW!!!
C. 1.5404
The CFO asks you to calculate the case-mix index of the
Medicare patients who were discharged from your medical-
surgical unit last week. He tells you the hospital's blended rate
is $5,000. You determine the following patients were
discharged during that time period. (Relative weights given
here are fictitious):
A. Documentation indicates creatinine 2.4 on admission
decreasing to 1.7 after 2 liters of fluid administered. Please
clarify the condition you are monitoring and treating related
to creatinine. Based upon presentation of altered mental
status, are you also treating a CVA?
A patient is admitted with weakness, dehydration, and AMS.
The patient also has a history of CKD stage 2 with a baseline
creatinine of 1.6, CHF, HTN, and CABG. Blood urea nitrogen
(BUN) is 32, creatinine is 2.4, and urine analysis is positive for
white blood cells. Head CT is negative for acute changes. The
patient is started on IV fluids and antibiotics. Labs after 2 liters
of fluid are BUN 28 and creatinine 1.7. The physician
documents the following impression list:
,-Dehydration with pre-renal azotemia
-UTI
-CKD
-AMS
Which of the following is an appropriate concurrent query?
A. Documentation indicates creatinine 2.4 on admission
decreasing to 1.7 after 2 liters of fluid administered. Please
clarify the condition you are monitoring and treating related to
creatinine. Based upon presentation of altered mental status,
are you also treating a CVA?
B. Please specify the reason for the IV fluids
C. Please specify the principal diagnosis
C. Exudative
A patient is admitted with fever, shortness of breath, chest
pain, and non-productive cough. Chest x-ray confirms a pleural
, effusion. Which type of effusion is most probable for this
patient?
A. Malignant
B. Transudative
C. Exudative
D. Serosanguinous
B. Would be needed to specify the cause of the chest pain
An elderly patient with a history of CAD, GERD, and HTN is
admitted with chest pain. Pain was unrelieved with
nitroglycerin at home. A GI cocktail is administered in the ED
with relief. Cardiac workup is negative, and patient is scheduled
for an EGD. The physician documents atypical chest pain. A
concurrent query:
A. Is not necessary to code GERD as the principal diagnosis
B. Would be needed to specify the cause of the chest pain
C. Would not be necessary as chest pain is the principal
diagnosis
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