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CDIP PRACTICE EXAM 2 AHMIA PRACTICE EXAM 2 QUESTIONS AND CORRECT ANSWERS | LATEST UPDATE CA$19.40   Add to cart

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CDIP PRACTICE EXAM 2 AHMIA PRACTICE EXAM 2 QUESTIONS AND CORRECT ANSWERS | LATEST UPDATE

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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 informa...

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  • September 17, 2024
  • 90
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • CDIP
  • CDIP
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2024 /2025 | © copyright | This work may not be copied for profit gain | Excel!




CDIP PRACTICE EXAM 2 AHMIA
PRACTICE EXAM 2 QUESTIONS AND
CORRECT ANSWERS | LATEST UPDATE
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


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,2024 /2025 | © copyright | This work may not be copied for profit gain | Excel!




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 code d 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 whet her

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,




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and other indicators. These documents are often calle d 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 appr oved 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:


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, 2024 /2025 | © copyright | This work may not be copied for profit gain | Excel!




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)


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