[Jun 25, 2024] Ultimate CDIP Guide to Prepare Free Latest AHIMA Practice Tests Dumps [Q26-Q44]

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[Jun 25, 2024] Ultimate CDIP Guide to Prepare Free Latest AHIMA Practice Tests Dumps

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NO.26 The correct coding for insertion of a dialysis catheter into the right internal jugular vein with the tip ending in the cavoatrial junction is

05HM33Z Insertion of infusion device into right internal jugular vein, percutaneous approach

02H633Z Insertion of infusion device into right atrium, percutaneous approach

05HP33Z Insertion of infusion device into right external jugular vein, percutaneous approach

02HV33Z Insertion of infusion device into superior vena cava, percutaneous approach

NO.27 Which of the following diagnosis is MOST likely to trigger a second level review?

Malnutrition

Pneumonia

Heart failure

Acute kidney injury

NO.28 The BEST place for the provider to document a query response is which of the following?

The query form

The next progress note and the problem list

The next progress note and all subsequent notes including the discharge summary

An addendum to the history and physical

NO.29 A 70-year-old severely malnourished nursing home patient is admitted for a pressure ulcer covered by eschar on the right hip. The provider is queried to clarify the stage of the pressure ulcer. Because the wound has not been debrided, the provider responds “unable to determine”.
How will the stage of this pressure ulcer be coded?

Stage IV pressure ulcer

Stage III pressure ulcer

Unstageable pressure ulcer

Undetermined stage pressure ulcer

NO.30 A 77-year-old male with chronic obstructive pulmonary disease (COPD) is admitted as an inpatient with severe shortness of breath. The patient is placed on oxygen at 2 liters per minute via nasal cannula. History reveals that the patient is on oxygen nightly at home. CXR is unremarkable. The most compliant query is

Patient has COPD, and is on nocturnal oxygen at home and is on continuous oxygen since admission.
Please order further tests so the patient’s severity of illness can be captured with the most accurate coding assignment.

Patient has COPD and is on oxygen every night at home and has been on continuous oxygen since admission, please document chronic respiratory failure, hypoxia, acute on chronic respiratory failure.

Patient has COPD, and is on nocturnal oxygen at home and is on continuous oxygen since admission.
Please indicate if you are treating one of these diagnoses: chronic respiratory failure, acute respiratory failure, acute on chronic respiratory failure, unable to determine, other.

Patient has COPD and is on oxygen every night at home and has been on continuous oxygen since admission. Based on these indications, please document chronic respiratory failure, acute respiratory failure, acute on chronic respiratory failure.

NO.31 A clinical documentation integrity practitioner (CDIP) has been successful in getting physicians to respond to queries. However, when the CDIP poses a query to a specific doctor, there is no response at all. The CDIP has tried face-to-face conversations, calling, emails, texts, but still gets no response. What is the next step the CDIP should take?

Elevate the issue to the physician advisor/champion after the CDI supervisor has reviewed the case and deemed the query appropriate

Report the doctor to the Vice President of Medical Affairs so the doctor understands the importance of clinical documentation

Hold a meeting with the CDI director and the doctor to find out why the doctor is not responding to the queries

Warn the other CDIPs that the doctor is a non-responder and to forego querying

NO.32 Tracking denials within the clinical documentation integrity program is important to

determine coding inaccuracies and educate as necessary

file a timely appeal if the medical center disagrees with the RAC findings

identify documentation improvement opportunities and educate as necessary

confirm reimbursement was appropriate

NO.33 A clinical documentation integrity practitioner (CDIP) generates a concurrent query and continues to follow retrospectively; however, the coder releases the bill before the query is answered. The CDIP wonders if it is appropriate to re-bill the account if the physician answers the query after the bill has dropped. Which policy should the hospital follow to avoid a compliance risk?

A rebilling is permissible when queries are answered after the initial bill.

A post-bill query rarely occurs as a result of an audit or other internal monitor.

A second bill should not be submitted when the first bill was incomplete.

A post bill query is not appropriate when an error is found after an audit.

NO.34 Which of the following should be examined when developing documentation integrity projects?

Query rates from coding staff

CC and MCC capture rates

Coding productivity statistics

Physician satisfaction surveys

NO.35 The clinical documentation integrity (CDI) team in a hospital is initiating a project to change the unacceptable documentation behaviors of some physicians. What strategy should be part of a project aimed at improving these behaviors?

Expand use of coding queries by CDI team

Add a physician advisor/champion to the CDI team

Encourage physician-nurse cooperation

Alter the physician documentation requirements

NO.36 An otherwise healthy male was admitted to undergo a total hip replacement as treatment for ongoing primary osteoarthritis of the right hip. During the post-operative period, the patient choked on liquids which resulted in aspiration pneumonia as shown on chest x-ray.
Intravenous antibiotics were administered, and the pneumonia was
monitored for improvement with two additional chest x-rays. The patient was discharged to home in stable condition on post-operative day 5.
Final Diagnoses:
1. Primary osteoarthritis of right hip status post uncomplicated total hip replacement
2. Aspiration pneumonia due to choking on liquid episode
What is the correct diagnostic related group assignment?

179 Respiratory Infections and Inflammations without CC/MCC

469 Major Joint Replacement or Reattachment of Lower Extremity with MCC

470 Major Joint Replacement or Reattachment of Lower Extremity without MCC

553 Bone Diseases and Arthropathies with MCC

NO.37 Automated registration entries that generate erroneous patient identification-possibly leading to patient safety and quality of care issues, enabling fraudulent activity involving patient identity theft, or providing unjustified care for profit-is an example of a potential breach of:

Authorship integrity

Patient identification and demographic accuracy

Documentation integrity

Auditing integrity

NO.38 A patient has a history of asthma and presents with complaints of fever, cough, general body aches, and lethargy. The patient’s child was recently diagnosed with influenza. Wheezing is heard on exam. The physician documents the diagnosis as asthma exacerbation and orders nebulizer treatments of Albuterol and a 5-day course of oral Prednisone. The clinical documentation integrity practitioner (CDIP) is unsure which signs and symptoms are inherent to asthma. Which reference resource should be used to obtain this information?

Physician’s Desk Reference

Medical Dictionary

The Merck Manual

AMA CPT Assistant

NO.39 A patient is admitted due to pneumonia. On day 1, a sputum culture is positive for psuedomonas bacteria. If the physician is queried and agrees that the patient has pseudomonas pneumonia, this specificity would

meet medical necessity

increase relative weight

not increase relative weight

not meet medical necessity

NO.40 What type of laboratory test is a creatinine test?

Chemistry

Microbiology

Hematology

Serology

NO.41 What policies should query professionals follow?

AHIMA’s policies related to querying

All healthcare entity’s policies are the same

Their healthcare entity’s internal policies related to querying

CMS’s policies related to querying

NO.42 When writing a compliant query, best practice is to

direct the physician to a specific diagnosis

include all relevant clinical indicators

use the term “possible” to describe a condition or diagnosis when uncertain if the diagnosis is present

use a yes/no query format for specificity of a diagnosis

NO.43 When a change in departmental workflow is necessary, the first step is to

define the gaps and solutions

set realistic timelines

re-engineer the process

assess the current workflow

NO.44 Which of the following individuals should the clinical documentation integrity (CDI) manager consult when developing query policy and procedures?

Chief Medical Officer

Compliance Officer

CDI practitioner

Chief Financial Officer