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1. You are a CDI specialist working in a hospital that uses
an electronic health record (EHR) system. You receive a
query from a physician who is documenting the care of a
patient with sepsis. The query asks you to confirm the
source of infection, the severity of sepsis, and the presence
of any organ dysfunction. The query is sent through the
EHR system and has a deadline of 24 hours. Which of the
following statements is true about this query?
 A) The query is compliant because it is specific, relevant,
and timely.
 B) The query is non-compliant because it is leading,
suggestive, and coercive.
 C) The query is non-compliant because it is vague,
ambiguous, and unclear.
 D) The query is compliant because it is concise, objective,
and respectful.
 Answer: A) The query is compliant because it is specific,
relevant, and timely. A compliant query should be clear
and precise, related to the clinical scenario, and have a
reasonable timeframe for response. The query should also
avoid leading or influencing the physician's documentation,
or implying a desired outcome.
2. You are a CDI specialist working in a hospital that uses
a paper-based documentation system. You receive a query
from a physician who is documenting the care of a patient
with acute myocardial infarction (AMI). The query asks
you to add the terms "STEMI" or "NSTEMI" to the
diagnosis, depending on the results of theÂÂ
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