CDIP 試験問題を無料オンラインアクセス

The correct coding for insertion of a dialysis catheter into the right internal jugular vein with the tip ending in the cavoatrial junction is

• A.05HM33Z Insertion of infusion device into right internal jugular vein, percutaneous approach
• B.02HV33Z Insertion of infusion device into superior vena cava, percutaneous approach
• C.05HP33Z Insertion of infusion device into right external jugular vein, percutaneous approach
• D.02H633Z Insertion of infusion device into right atrium, percutaneous approach

A patient's progress note states "The patient has chronic systolic heart failure". After reviewing clinical indicators suggestive of an exacerbation of systolic heart failure, the clinical documentation integrity practitioner (CDIP) queries the physician to clarify the current acuity of the diagnosis. Which subsequent documentation in the health record suggests the provider did not understand the query?

• A.The patient has chronic systolic heart failure.
• B.The patient has acute on chronic systolic heart failure.
• C.The patient has decompensated systolic heart failure.
• D.The patient did have an exacerbation of heart failure.

A hospital noticed a 30% denial rate in Medicare claims due to lack of clinical documentation, placing the hospital at risk of multiple Medicare violations. What step should the clinical documentation integrity (CDI) manager take to help avoid future Medicare violations?
Collaborate with physician advisor/champion and revenue cycle manager
Instruct the billing department to write off claims with insufficient documentation

• A.Assign pre-billing claim review duties to physicians
• B.Prevent submission of claims for improper documentation

For inpatients with a discharge principal diagnosis of acute myocardial infarction, aspirin must be taken within
24 hours of arrival unless a contraindication to aspirin is
documented. How should this be documented in the health record?

• A.The name of the medication (aspirin) and the date it was last administered
• B.The name of the medication (aspirin), the date and time it was last administered
• C.The name of the medication (aspirin), the date, time and location where it was last administered
• D.The name of the medication (aspirin), the date and location where it was last administered

Reviewing and analyzing physician query content on a regular basis

• A.aids in discussion between physician and reviewer
• B.assists in identifying gaps in skills and knowledge
• C.helps to calculate query response rate
• D.facilitates physician data collection