CDI Questions
When formulating a credible clinical query for a physician, which of the following information should a CDI specialist incorporate?
A. Medical history of the patient, past medications, and current medications
B. Risk factors of a condition, signs and symptoms of a condition, and treatment
C. Treatment plan for the admission
D. Possible DRG choices for the physician to review
B. Risk factors of a condition, signs and symptoms of a condition, and treatment
While a CDI specialist is in the process of posting an electronic query, the physician walks onto the unit to make rounds. The CDI specialist should:
A. Wait to see what the physician documents
B. Leave a sticky note for the physician regarding the query
C. Ask to join the physician on his or her rounds
D. Move to another record
C. Ask to join the physician on his or her rounds
First team that can show me a pic of their dog.
dog pic
This is what SDOH stands for
What is Social Determinants of Health?
This is what MCE stands for
What is Medicare Code Editor?
Metabolic encephalopathy is:
A. Treated by correcting the underlying condition
B. Caused by trauma to the head
C. A minor comorbid condition
D. Usually the principal diagnosis
A. Treated by correcting the underlying condition
A query has been pending on a case for three days, and the patient is scheduled for discharge today. Which of the following is the most effective technique for obtaining a timely response?
A. Email the physician with the query information
B. Call the physician's department chair to report noncompliance
C. Let coding initiate a retrospective query
D. Try to meet face to face with the physician and discuss the query
D. Try to meet face to face with the physician and discuss the query
The team that had the most members participate in a high school sport?
What sports?
Principal diagnosis for a patient admitted with primary colon neoplasm with metastasis to the liver and the treatment is directed only to the secondary neoplasm, liver
What is the secondary neoplasm of the liver
In which type of encounter is an "uncertain diagnosis" at discharge unacceptable
What is outpatient?
Which of the following would be an important indicator of severe malnutrition?
A. Albumin of 2.9
B. Poor or delaying wound healing
C. Patient is 90% of ideal body weight
D. Patient is NPO after midnight for surgery scheduled the next day
B. Poor or delaying wound healing
Which of the following measurements is the most accurate predictor of patient outcomes?
A. Readmission rates
B. CC/MCC capture rates
C. SOI/ROM
D. PSI-90
C. SOI/ROM
The team with a member that has the oldest vehicle?
What year of vehicle?
Principal diagnosis for patient admitted for hemolytic-uremic syndrome associated with HIV disease
What is hemolytic-uremic syndrome?
Terms that may be synonyms of a code title, or a list of various conditions assigned to a code
What are Inclusion Terms?
s Which of the following are important metrics to monitor in evaluating CDI specialist productivity?
A. Hours worked and hospital case-mix index (CMI)
B. Discharge rates and number of records coded
C. Review rates, query rates, and physician response rates
D. Final coded MS-DRGs and review rates
C. Review rates, query rates, and physician response rates
How is an observed to expected mortality ratio of greater than 1 interpreted?
A. The expected death rate is higher than the actual death rate
B. There is no correlation between actual and expected deaths
C. The actual death rate is higher than the expected death rate
D. The number of expected and actual deaths is equal
C. The actual death rate is higher than the expected death rate
First team that can show a pic of themselves at an amusement park.
What park?
Appropriate code assignment and sequencing for patient diagnosed with acute kidney injury (AKI) due to acute tubular necrosis (ATN) secondary to contrast nephropathy
What is Acute Kidney Filure with tubular necrosis, Contrastinduced nephropathy, and Adverse effect of diagnostic agents, initial encounter?
A sign or the display or disclosure of characteristic signs or symptoms of an illness of an underlying disease, not the disease itself
What is a Manifestations?
Which of the following postoperative conditions could potentially impact a facility's PSI-90 score as measured by CMS?
A. Post operative renal failure w/o dialysis
B. UTI
C. Pulmonary embolism
D. Pneumonia
C. Pulmonary embolism
A CDI specialist identifies incorrect documentation in the medical record. Which of the following is the best method of ensuring accurate and compliant medical record documentation?
A. Delete the documentation by drawing a line through it and add the CDI specialist's initials
B. Complete a written query asking the provider to correct his or her documentation
C. Attempt a face-to-face conversation with the provider to discuss the documentation
D. Email the coder, advising him or her not to code the incorrect diagnosis
C. Attempt a face-to-face conversation with the provider to discuss the documentation
What team has the most combined member tattoos?
How many?
Sequencing of principal and additional diagnosis for patient with refractory relapsed acute myeloid leukemia (AML) and bleeding gums. The patient was found to have pancytopenia secondary to AML. She was admitted for transfusion support only for her pancytopenia
What is principal diagnosis of other pancytopenia and additional diagnosis of acute myeloblastic leukemia, in relapse?
Principal and additional diagnoses assignment and sequencing for a child admitted due to documented multisystem inflammatory syndrome in children (MIS-C) due to COVID-19
What is principal, COVID -19, and additional diagnosis, Multisystem Inflammatory Syndrome?