CDIP Practice Questions

Patient is admitted with oliguria, pulmonary edema, and dehydration. Labs are remarkable for an elevated creatinine of 2.4, with a baseline of 1.1. Patient was hydrated for 48 hours with drop in creatinine. What would the appropriate action be?

A noncompliant query includes querying the provider regarding: A.gram-negative pneumonia on every pneumonia case, regardless of documented clinical indicatorsB.morbid obesity due to BMI of 40.9 documented on the history and physicalC.acute blood loss anemia due to low hemoglobin treated with iron supplementsD.sepsis that was present on admission because sepsis was only documented in the discharge summary

An increase in claim denials has prompted a clinical documentation integrity (CDI) manager to engage the CDI physician advisor/champion in an effort to avoid future denials. How does this strategy impact the goal? A.Clinicians will not require documentation integrity education.B.Physicians can manage the documentation integrity process.C.Physicians will learn documentation integrity practices from peers.D.The CDI manager will exclusively provide education.

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.A rebilling is permissible when queries are answered after the initial bill.B.A post bill query rarely occurs as a result of an audit of other internal monitor.C.A post bill query is not appropriate when an error is found after an audit.D.A second bill should not be submitted when the first bill was incomplete.