최신 CCDS 무료덤프 - ACDIS Certified Clinical Documentation Specialist
A patient has hypertension and acute on chronic diastolic heart failure documented during the same admission. The physician does not explicitly link the conditions and does not state that they are unrelated.
Which statement is MOST accurate?
Which statement is MOST accurate?
정답: D
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A CDI director wants to evaluate whether physicians are consistently addressing clarification requests. Which metric most directly measures this aspect of physician engagement?
정답: A
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A patient accidentally takes twice the prescribed dose of warfarin and develops gastrointestinal bleeding.
Which coding concept applies?
Which coding concept applies?
정답: A
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A hospital had 1,000 inpatient discharges during a reporting period. The sum of the MS-DRG relative weights for those discharges was 1,750. What is the hospital's case mix index (CMI)?
정답: B
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A patient's hemoglobin decreases from 13.1 g/dL before surgery to 7.4 g/dL afterward. Estimated intraoperative blood loss is 1,200 mL, and the patient receives two units of packed red blood cells. The physician documents only "postoperative anemia." Which clarification is MOST appropriate?
정답: B
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At discharge, the physician documents, "Possible gram-negative pneumonia." No later documentation rules out the condition. How should the diagnosis generally be handled for an inpatient admission?
정답: B
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A patient is admitted with alcohol intoxication. The H & P notes increased tolerance related to alcohol consumption, desire to drink despite impaired liver functions, and unsuccessful attempts to stop drinking.
Identify the query opportunity related to alcohol consumption.
Identify the query opportunity related to alcohol consumption.
정답: D
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The progress note on hospital day 2 of a patient's admission states that the patient got up from the bed to go to the bathroom just after housekeeping had mopped the floor. The patient slipped and fell onto the floor, sustaining a broken wrist. The diagnosis of a fractured wrist will:
정답: C
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Which statement BEST defines the principal diagnosis for an inpatient hospitalization?
정답: D
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A CDI program plans to develop a policy for addressing diagnoses that require clinical validation. According to the Guidelines for Achieving a Compliant Query Practice, which of the following should be addressed in the policy?
정답: B
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The table below shows physician performance:
Which of the following physicians will have the most favorable mortality rate on a public website, such as Healthgrades.com?
Which of the following physicians will have the most favorable mortality rate on a public website, such as Healthgrades.com?
정답: A
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A CDI specialist is asked to develop an educational presentation for a physician group on how documentation affects patient outcome measures within the CDI department. Which of the following is the MOST important measure to include when developing the presentation?
정답: B
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A CDI program is developing a query escalation policy. A clinically significant query remains unanswered despite normal reminders. Which action is MOST appropriate?
정답: D
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Which of the following secondary diagnoses has the MOST positive monetary impact on MS-DRG reimbursement?
정답: C
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A CDI manager notes that the physician query response rate is 98%, but only 55% of queries are answered before discharge. Which metric should receive the MOST immediate workflow analysis?
정답: D
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