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CDIP From AHIMA's Clinical Documentation Improvement, Achieving Excellence by Ruthann Russo (2024 / 2025) Questions with Verified Answers, 100% Guarantee Pass Score $15.99
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CDIP From AHIMA's Clinical Documentation Improvement, Achieving Excellence by Ruthann Russo (2024 / 2025) Questions with Verified Answers, 100% Guarantee Pass Score
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CDIP From AHIMA's Clinical Documentation Improvement, Achieving Excellence by Ruthann Russo (2024 / 2025) Questions with Verified Answers, 100% Guarantee Pass Score

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  • October 8, 2024
  • 20
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

Subjects

  • cdip
  • ahimas
  • clinical documentation improvement
  • achieving excellence by ruthann russo
  • cdip from ahimas clinical documentation improveme

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  • CDIP
  • CDIP

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CDIP From AHIMA's Clinical Documentation Improvement, Achievin... file:///C:/Users/HP/Desktop/New%20fl/CDIP%20From%20AHIMA




CDIP From ANIMA’S Clinical Documentation

Improvement Achieving Excellence

by Ruthann Russo




1. CDI program data includes

Answer 1. All cases that were reviewed

2. Number of cases with queries

3. Nature of the query

4. Physician response to the query



2. Queries should only be asked

Answer 1. If there is clinical evidence that the docu- mentation is imcomplete or does not meet

one of the seven criteria for high-quality clinical documentation.

2. By an individual with solid clinical knowledge.

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3. In an open-ended manner (no yes or no questions)

4. In a nonleading manner.

5. To the individual whose documentaion is in question or who is responible for

interpreting test results or other data in the patient's record.



3. Query process and procedure should address

Answer 1.When queries will be asked.

2. Who will ask queries and to whom queries will be asked.

3. The hospital's responsibility in supporting the quering process.

4. The physician's responsibility in responding to queries.

5. Acceptable ways to responding to queries.



4. Examples of when a query is required may include

Answer 1. Documentation of reportable conditions or procedures is conflicting, ambigious, or is

otherwise incom- plete.

2. Abnormal diagnostic test results indicate the possible addition of a secondary diagnosis or

higher specificity of an already documented condition.

3. The patient is receiving treatment for a condition that has not been documented.
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4. Abnormal operative or procedureal findings are not documented.

5. It is unclear as to whether a condition was ruled out.

6. The pricipal diagnosis is not clearly identified.



5. Septicemia

Answer A systemic disease with the presence and persistence of pathogenic micro-organisms or

toxins in the blood. No longer considered synonymous with sepsis.



6. Sepsis

Answer Sepsis is SIRS due to an infection . Infection can originate anywhere in the body and be

triggered by a bacterial, viral, parasitic, or fungal infection.



7. Severe Sepsis

Answer SIRS due to infection with organ dysfunction. Sepsis associated

with acute dysfunction in one or more organs.

Organ dysfunction bay be cardiovascular, renal, respiratory, hepatic, hematological, central

nervous system, or metabolic acidosis.


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