CDIP PRACTICE TEST EXAMS WITH
CORRECT ANSWERS
Coding Clinic - CORRECT ANSWER-Valuable reference tool
for coders that is published by AHA each quarter
CPT - CORRECT ANSWER-Current Procedural Terminology
MS-DRGs - CORRECT ANSWER-Medicare Severity-Diagnosis
Related Groups
CPT Assistant - COR...
MS-DRGs - CORRECT ANSWER-Medicare Severity-Diagnosis
Related Groups
CPT Assistant - CORRECT ANSWER-Monthly publication by
the AMA that provides coding advice for CPT coding scenarios
Encoder Nosology - CORRECT ANSWER-Provides coding
professionals from the encoder company that are available to
help answer tough coding questions
History & Physical - CORRECT ANSWER-Provides the initial
chief complaint and initial impressions of the provider when the
patient is first admitted. It also has a comprehensive physical
review of the patient's body systems and vital signs, and
provides the initial treatment plan, medications, and tests that
are being ordered to treat the patient.
Progress Notes - CORRECT ANSWER-Provide information
about what is going on with the patient on a day-to-day basis;
they should include the diagnoses that are being treated as well
, as any information about any changes in the patient's well-
being and tests/procedures being performed.
Operative and Pathology Reports - CORRECT ANSWER-
Summarize the invasive procedures performed and any
samples that are removed from the patient's body
Pathology report - CORRECT ANSWER-Provides detailed
information from the pathologist of the facility as to the status of
the tissues or organs removed from the patient's body
Encoder - CORRECT ANSWER-Specialty software used to
facilitate the assignment of diagnostic and procedural codes
according to the rules of the coding system
What is the value of utilizing coding software? - CORRECT
ANSWER-It facilitates accurate coding by providing links to
coding resources, groups diagnosis and procedure codes to the
correct MS-DRG, and provides edits with additional information
for the coder to consider when placing codes into the encoder
Principal diagnosis - CORRECT ANSWER-Diagnosis that, after
study, is the reason for the patient's admission to the hospital.
Secondary diagnoses - CORRECT ANSWER-Additional
supporting information for the conditions the patient is being
cared for
MCC - CORRECT ANSWER-Major Complication or
Comorbidity
CC - CORRECT ANSWER-Complication or Comorbidity
CMI - CORRECT ANSWER-Case Mix Index
LOS - CORRECT ANSWER-Length of Stay
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