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ACDIS Certified Clinical Documentation Specialist Sample Questions:
A CDI manager is evaluating physician participation in the program. Which metric most strongly indicates poor physician engagement?
- A. Number of queries generated
- B. Number of unanswered queries
- C. Number of disagreed-with queries
- D. Number of agreed-with queries
Correct Answer: B 🗳️
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Which CMS program can reduce an eligible hospital's Medicare base operating DRG payments by as much as
3% because of excess readmissions?
- A. Hospital Readmissions Reduction Program
- B. Hospital Value-Based Purchasing Program
- C. Hospital-Acquired Condition Reduction Program
- D. Medicare DSH Program
Correct Answer: A 🗳️
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A patient is admitted for UTI with AMS. The physician documents "UTI due to Escherichia coli." CT scan of the head is negative, with AMS improving and family reporting the patient is now at baseline. Admission creatinine is 1.2 mg/dL and sodium is 146 mEq/L. Plan is discharge home today.
The CDI specialist should query for the:
- A. Acute kidney failure as evidenced by admission serum creatinine 1.2 mg/dL
- B. Reason for admission-UTI versus the diagnosis associated with the AMS
- C. Acuity of the AMS-acute versus chronic
- D. Hypernatremia as evidenced by admission serum sodium 146 mEq/L
Correct Answer: B 🗳️
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The progress note on hospital day 2 of a patient's admission states that the patient got up from the bed to go to the bathroom just after housekeeping had mopped the floor. The patient slipped and fell onto the floor, sustaining a broken wrist. The diagnosis of a fractured wrist will:
- A. Be coded and assigned a POA of "U"
- B. Not be recognized as a CC because it was a hospital-acquired condition
- C. Not be coded because it is a hospital-acquired condition
- D. Be considered a CC for calculation of the final MS-DRG
Correct Answer: B 🗳️
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A CDI specialist sends a compliant query. The physician answers "other-viral syndrome" and supports the diagnosis in the progress note. The queried diagnosis would have been an MCC. What should the CDI specialist do?
- A. Ask coding to assign the MCC anyway
- B. Accept the clinically supported provider response
- C. Reject the answer because it does not produce an MCC
- D. Reissue the same query until the provider selects the MCC
Correct Answer: B 🗳️
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