Exam (elaborations)

CDIP Practice Exam 2 Practice Questions and Answers | 100% Pass

0 view 0 purchase

Course
2024/2025

Institution
2024/2025

CDIP Practice Exam 2 Practice Questions and Answers | 100% Pass 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 m...

[Show more]

Preview 4 out of 63 pages

View example

Uploaded on October 3, 2024
Number of pages 63
Written in 2024/2025
Type Exam (elaborations)
Contains Questions & answers

cdip practice exam 2 practice questions and answer

Institution 2024/2025
Course 2024/2025

EmillyCharlotte

Member since 2 months 8 documents sold

CA$18.08

Added

Add to cart

Add to wishlist

100% satisfaction guarantee
Immediately available after payment
Both online and in PDF
No strings attached

EMILLYCHARLOTTE 2024/2025 ACADEMIC YEAR ©2024 ALL RIGHTS RESERVED,
FIRST PUBLISH SEPTEMBER 2024

CDIP Practice Exam 2 Practice
Questions and Answers | 100% Pass

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 - Answer✔✔-

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 - Answer✔✔-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

1/63

, EMILLYCHARLOTTE 2024/2025 ACADEMIC YEAR ©2024 ALL RIGHTS RESERVED,
FIRST PUBLISH SEPTEMBER 2024
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 - Answer✔✔-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 - Answer✔✔-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).

2/63

, EMILLYCHARLOTTE 2024/2025 ACADEMIC YEAR ©2024 ALL RIGHTS RESERVED,
FIRST PUBLISH SEPTEMBER 2024
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 - Answer✔✔-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 - Answer✔✔-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

3/63

, EMILLYCHARLOTTE 2024/2025 ACADEMIC YEAR ©2024 ALL RIGHTS RESERVED,
FIRST PUBLISH SEPTEMBER 2024
d.None of the above - Answer✔✔-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 - Answer✔✔-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

4/63

The benefits of buying summaries with Stuvia:

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

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

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 EmillyCharlotte. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for CA$18.08. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

75323 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

Exam (elaborations)

CDIP Practice Exam 2 Practice Questions and Answers | 100% Pass

Document information

Subjects

Written for

Seller

Reviews received

Content preview