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最新的 AHIMA CDI CDIP 免費考試真題:

1. A clinical documentation integrity practitioner (CDIP) must determine the present on admission (POA) status of a stage IV sacral decubitus ulcer documented in the discharge summary. What is the first step that should be taken?

A) Query the attending provider
B) Look for wound care documentation
C) Review the history and physical
D) Read the nursing admission notes

2. Collaboration between the physician advisor/champion and the clinical documentation integrity practitioners (CDIPs) would likely include

A) querying physicians
B) educating physicians
C) developing query forms
D) performing data analysis

3. Combination codes are used to classify two diagnoses, a diagnosis with a manifestation, or a diagnosis

A) with an associated complication
B) with an associated procedure
C) that is an integral part of a disease process
D) with a sequelae or late effect

4. An 86-year-old female is brought to the emergency department by her daughter. The patient complains of feeling tired, weak and excessive sleeping. The patient's daughter comments that patient's mental condition has not been the same. Lab results are unremarkable except for a sodium level of 119, a BUN of 22, and a creatinine of 1.35. The patient receives normal saline IV infusing at 100 cc/hr. The admitting diagnosis is weakness, altered mental status and dehydration. Which of the following queries is presented in an ethical manner thus avoiding potential fraud and/or compliance issues?

A) Patient's sodium is 119 and she is on NS IV at 100 cc/hr, is this clinically significant? If so, please document a corresponding diagnosis related to this lab result.
B) Patient's sodium is 119 and she is on NS IV at 100 cc/hr, does patient have hyponatremia?
C) Patient is feeling tired, weak, sleeping a lot and has altered mental status. Sodium is 119 and she is on NS IV at 100 cc/hr, please clarify the clinical significance of the lab result.
D) Patient is feeling tired, weak, sleeping a lot and has altered mental status. Sodium is 119 and she is on NS IV at 100 cc/hr. Is the altered mental status related to the sodium of 119?

5. When queries are part of the health record, which of the following physician privilege could be suspended if the provider receives too many deficiencies due to incomplete records for failure to respond to queries?

A) Surgical
B) Credentialing
C) Admitting
D) Consulting

問題與答案：