100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Previously searched by you
Previously searched by you
logo
CDIP Practice Exam 2 Questions with 100% Actual correct answers | verified | latest update | Graded A+ | Already Passed | Complete Solution $7.99   Add to cart
Quickly navigate to
Preview
  2.  
  3. All Summer Modules Studies 2024
  4.  
  5. All Summer Modules Studies 2024
  6.  
  7. All summer modules studies 2024

Exam (elaborations)

CDIP Practice Exam 2 Questions with 100% Actual correct answers | verified | latest update | Graded A+ | Already Passed | Complete Solution

1 review
 11 views  0 purchase
  • Course
  • All summer modules studies 2024
  • Institution
  • All Summer Modules Studies 2024

CDIP Practice Exam 2 Questions with 100% Actual correct answers | verified | latest update | Graded A+ | Already Passed | Complete Solution

Preview 4 out of 53  pages

Document information

  • June 19, 2024
  • 53
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers

Subjects

  • cdip practice exam 2 questions with 100 actual co

Written for

  • All summer modules studies 2024
  • all summer modules studies 2024
  • All summer modules studies 2024
All documents for this subject (274)

1  review

review-writer-avatar

By: EXAMQA • 4 months ago

Seller

avatar-seller
Hkane

Reviews received

Content preview

CDIP Practice Exam 2
A physician admits a patient with shortness of breath and chest pain,
then treats the patient with Lasix, oxygen, and Theophylline. The
physician's final documented diagnosis for the patient is acute
exacerbation of COPD. What is missing from this diagnosis that would
make it reliable information in the treatment of this patient?
a.No additional information is needed.
b.The type of COPD
c.The reason the patient was treated with Lasix
d.The reason for the Theophylline


If the physician does not document the diagnosis, the coding
professional cannot assume the patient has a diagnosis based solely on
a.An abnormal lab finding
b.Abnormal pathology reports
c.Both A and B
d.None of the above
c The coder cannot assume diagnoses on abnormal findings such as lab
reports. Abnormal findings (laboratory, X-ray, pathologic, and other
diagnostic results) are not coded and reported unless the physician
indicates their clinical significance. If the findings are outside the normal
range and the physician has ordered other tests to evaluate the
condition or prescribed treatment, it is appropriate to ask the physician
whether the diagnosis should be added (AHA 1990, 15).


These documents would be used for are used by clinicians and
providers to identify abnormal temperature, blood pressure, pulse,
respiration, oxygen levels, and other indicators.
a.Nurses' graphic records
b.Vital sign flowsheets
c.Both A and B
d.None of the above
c Clinicians and providers utilize various documents to identify abnormal
temperature, blood pressure, pulse, respiration, oxygen levels, and other

,indicators. These documents are often called nurses' graphic records or
vital sign flowsheets (Hess 2015, 43).


The American Hospital Association (AHA), the American Health
Information Management Association (AHIMA), Center for Medicare and
Medicaid Services (CMS), and National Center for Healthcare Statistics
(NCHS) are all
a.Cooperating parties
b.Governing bodies
c.Coding associations
d.Work independently to develop coding guidelines
a The American Hospital Association (AHA), the American Health
Information Management Association (AHIMA), Center for Medicare and
Medicaid Services (CMS), and National Center for Health Statistics
(NCHS) are all cooperating parties that developed and approved
ICD-10-CM/PCS (ICD-10-CM Official Guidelines for Coding and
Reporting 2016a, 1).


A patient was admitted with HIV and pneumocystic carini. The patient
should have a principal diagnosis in ICD-10 of:
a.AIDS
b.Asymptomatic HIV
c.Pneumonia
d.Not enough information
a If a patient is admitted for an HIV-related condition, the principal
diagnosis should be B20, Human immunodeficiency virus [HIV] disease
followed by additional diagnosis codes for all reported HIV-related
conditions (ICD-10-CM Official Guidelines for Coding and Reporting
2016a, 17).


APR-DRGs have levels (subclasses) of severity entitled:
a.Excessive, Major, Moderate, Minor
b.Extreme, Major, Moderate, Minor
c.Extreme, Major, Moderate, Minimal

,d.Excessive, Major
b The APR-DRG system is distributed into levels (subclasses) similar to
MS-DRGs. These levels are entitled Extreme, Major, Moderate, Minor
(Hess 2015, 48)


During an outpatient procedure for removal of a bladder cyst, the
urologist accidentally tore the urethral sphincter requiring an observation
stay. This should be assigned as the principal diagnosis:
a.The reason for the outpatient surgery
b.The reason for admission
c.Either the reason for the outpatient surgery or the reason for admission
d.None of the above
a When a patient presents for outpatient surgery and develops
complications requiring admission to observation, code the reason for
the surgery as the first reported diagnosis (reason for the encounter),
followed by codes for the complications as secondary diagnoses
(ICD-10-CM Official Guidelines for Coding and Reporting 2016a, 103).


In 1990, 3M created which DRG system that several states use for
Medicaid reimbursement and is also used by facilities to analyze some
portion of the data for Medicare Quality Indicators. What is this system
called?
a.MS-DRGs
b.AP-DRGs
c.APR-DRGs
d.CPT-DRGs
c In 1990, 3M created APR-DRGs, which several states use for Medicaid
reimbursement. APR-DRGs are used by facilities to analyze some
portion of the data for Medicare Quality Indicators (Hess 2015, 48)


A patient was admitted to an acute care facility with a temperature of 102
and atrial fibrillation. The chest x-ray reveals pneumonia with
subsequent documentation by the physician of pneumonia in the
progress notes and discharge summary. The patient was treated with

, oral antiarrhythmia medications and IV antibiotics. What is the principal
diagnosis?
a.Pneumonia
b.Arrhythmia
c.Atrial fibrillation
d.Both a and c
a The patient presented with clinical signs of Pneumonia along with
treatment. The atrial fibrillation was a chronic condition that can be
reported additionally (CMS 2016b).


The Cooperating Parties, which develop and approve ICD-10, include:
a.American Hospital Association (AHA) and American Health Information
Management Association (AHIMA)
b.American Hospital Association (AHA), American Health Information
Management Association (AHIMA), and Centers for Disease Control
(CDC)
c.American Hospital Association (AHA), American Health Information
Management Association (AHIMA), and Centers for Medicare and
Medicaid Services (CMS), and National Center for Health Statistics
(NCHS)
d.American Hospital Association (AHA), American Health Information
Management Association (AHIMA), and the World Health Organization
(WHO)
c The cooperating parties developed and approved ICD-10-CM/PCS and
include (4) organizations American Hospital Association (AHA),
American Health Information Management Association (AHIMA), and
Centers for Medicare and Medicaid Services (CMS), and National
Center for Health Statistics (NCHS) (CMS 2016c).


Mildred Smith was admitted to a nursing facility with the following
information: "Patient is being admitted for Organic Brain Syndrome."
Underneath the diagnosis, her medical information was listed along with
a summary of the care already provided. This information is documented
on the:
a.Transfer record

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller Hkane. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $7.99. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

78075 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$7.99
  • (1)
  Add to cart