FREE AND STUDY GAMES ABOUT CCDS - 1 EXAM

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FREE AND STUDY GAMES ABOUT CCDS - 1 EXAM

QUESTIONS

Actual Qs and Ans Expert-Verified Explanation

This Exam contains:

-Guarantee passing score -98 Questions and Answers -format set of multiple-choice -Expert-Verified Explanation Question 1: Which indicators are not usually included when reporting MD profiles

Answer:

Dollars charged/hr Question 2: MD has a large number of queries w/ response rate of 100% and agreement rate of

75%. Indicated:

Answer:

MD has engaged w/ CDI program

Question 3: Hospital's base rate or blended rate is

Answer:

Calculated annually, dependent on indirect costs for grad med edu and new tech, adjusted based on number of low-income pts cared for.Question 4: CDS tracking the program for the last yr notices sudden decrease in MCI for a single month which factors may indicate a reason for the sudden and brief decrease?

Answer:

Water damage to an OR and 3-5 ortho Sx's attended a national conference

Question 5: MD has a large number of queries w/ a response rate of 50%, agreement rate is 25%.

This indicates:

Answer:

The MD may not understand the purpose of the program

Question 6: A dx is idicated in the H&P and ruled out in the DS should be

Answer:

Disregarded as a possible code Question 7: Admitted with new-onset HA, vision changes, difficulty swallowing, and HTN.Clinically which dx would best explain the sx"

Answer:

Cerebral edema 2/2 lesion in brain Question 8: Purpose of a concurrent query is to:

Answer:

ensure each med rec accurately reflects SOI and resource consumption, proved MDs with necessary info so they can better understand coding guidelines, assist in accurate coding of dx's being tx'd and monitored, and decrease the number of retro queries

Question 9: Which guideline provides direction for a correct assignment of PDx?

Answer:

Sign & symptom code should only be used of no definitive dx is determined Question 10: When coding a med rec that includes DM and its manifestations, remember that

specificity of coding for DM is dependent upon:

Answer:

Doc of type 1 or 2, and doc of any manifestations

Question 11: Which is an example of doc meeting POA criteria?

Answer:

Listed as "possible" in H&P

Question 12: Admitted with hypertensive HF and CDK, code assignment would:

Answer:

identify the most appropriate combo code

Question 13: Pt tx'd with Cefoxitin for PNA, what type is most likely?

Answer:

Gram negative Question 14: CDI is developing an edu presentation for MDs on how doc affects MD profiles.Which is important to include?

Answer:

Query response rates, CMI, and expected vs actual mortality rates Question 15: Admitted with abdominal pain and CKD 2 H&P docs probable colon CA. On day 2, doc AKI in PN and pt gets IVFs. DS docs possible Mets colon CA and AKI. PDx?

Answer:

Mets neoplasm of colon Question 16: Which external organizations provides publicly reportable data regarding the SOI of individual facilities or MDs?

Answer:

healthgrades Question 17: Aplastic anemia is a condition that:

Answer:

is defined as bone marrow failure causing a reduction in WBC's, RBC's and platelets Question 18: During review of final coding summary of a case reviewed by CDI, the CDS manager notices coder has coded and ICD-10 code for a dx that doesn't seem to be supported

in doc by MD. CDS manager should:

Answer:

Contact cover and discuss record to determine next steps.

Question 19: Conditions that are high dose and/or high volume and could have bee reasonably prevented through application of Evidence-Based Clinical guidelines are identified as:

Answer:

HACs Question 20: Treatment of AKi may include:

Answer:

IVF's, hold diuretics, monitor I/Os, and daily BUN/Creatinine Question 21: Pt w/ acute osteomyelitis is DC'd to HH w/ 6wks of IV tx. 3 wks afte d/c pt admitted with AKI probably 2/2 IV Vanco. CDI should

Answer:

Assign AKI as PDx (not complication) Question 22: After final coding the coder identifies a DRG discrepancy with CDI. To best understand the CDI should first

Answer:

Review final codes and determine if guidelines were broken Question 23: Chapter specific guidelines provide direction for coding HIV iclude:

Answer:

B20 should only be assigned in confirmed cases, B20 qualifies as an MCC if sequenced as SDx, and coding is specific to the reason for admission Question 24: Elderly man c h/o COPD and HTN, uses home O2..admitted c/o dyspnea, rapid shallow breaths, O2 sat of 84% on 2L. Non-rebreather applied, gets IV SoluMedrol, and breathing Txts. MD docs resp failure d/t COPD and PNA. PDx?

Answer:

COPD Question 25: h/o COPD< admitted w AKI. On 2nd night, severe SOB w/ sats in 60s. RR called, pt is intubated, remains on vent for 4 days then extubated and DC'd. Which best described the impact of vent on final DRG?

Answer:

Doesn't change DRG as PDx is AKI.