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1. Which of the following committees should determine the chain of comnfand that will be used to manage physicians who are either unresponsive or uncooperative with the clinical documentation integrity (CDI) program?
A) Compliance
B) Oversight
C) Operations
D) Communications
2. A query should be generated when the documentation is
A) conflicting
B) complete
C) consistent
D) legible
3. Automated registration entries that generate erroneous patient identification-possibly leading to patient safety and quality of care issues, enabling fraudulent activity involving patient identity theft, or providing unjustified care for profit-is an example of a potential breach of:
A) Authorship integrity
B) Documentation integrity
C) Auditing integrity
D) Patient identification and demographic accuracy
4. Which of the following is MOST likely to trigger a second-level review?
A) A record with multiple major complicating conditions (MCCs)
B) A procedure code that increases reimbursement
C) A diagnosis that impacts a quality-of-care measure
D) An account coded before the discharge summary is available
5. A patient is admitted for chronic obstructive pulmonary disease (COPD) exacerbation. The patient is on 3L of home oxygen and is treated during admission with 3L of oxygen. The most appropriate action is to
A) code the diagnoses of COPD exacerbation and chronic respiratory failure
B) query the provider to see if respiratory insufficiency is supported by the health record
C) query the provider to see if chronic respiratory failure is supported by the health record
D) query the provider to see if acute on chronic respiratory failure is supported by the health record
Solutions:
| Question # 1 Answer: B | Question # 2 Answer: A | Question # 3 Answer: D | Question # 4 Answer: A | Question # 5 Answer: D |
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