CDIP Practice Test

CDIP Practice Test practice questions, page 2 of 6, with answer review and explanations.

Question 6

The third quarter target concurrent physician query response rate for each physician in a hospital gastroenterology department was 80%. Nine physicians met or exceeded this metric; however, two physicians had third quarter concurrent physician query response rates of 19% and 64%. What is the best course of action for the clinical documentation integrity (CDI) physician advisor/champion?

  1. Schedule a meeting with the chair of the gastroenterology department
  2. Schedule individual meetings with each low-performing physician
  3. Schedule a group meeting with all physicians
  4. Schedule individual meetings with each physician

Question 7

Patient is admitted with oliguria, pulmonary edema, and dehydration. Labs are remarkable for an elevated creatinine of 2.4, with a baseline of 1.1. Patient was hydrated for 48 hours with drop in creatinine. What would the appropriate action be?

  1. No query is needed because the patient was dehydrated
  2. Code acute renal failure since symptoms are there and documented
  3. Query the physician to see if acute renal failure is clinically supported
  4. Query the physician to see if acute renal failure with tubular necrosis is supported

Question 8

A noncompliant query includes querying the provider regarding:

  1. gram-negative pneumonia on every pneumonia case, regardless of documented clinical indicators
  2. morbid obesity due to BMI of 40.9 documented on the history and physical
  3. acute blood loss anemia due to low hemoglobin treated with iron supplements
  4. sepsis that was present on admission because sepsis was only documented in the discharge summary

Question 9

When there is a discrepancy between the clinical documentation integrity practitioner’s (CDIP’s) working DRG and the coder’s final DRG, which of the following is considered a fundamental element that must be in place for a successful resolution?

  1. Physician and CDIP interaction
  2. Coder and CDIP interaction
  3. Physician advisor/champion involvement
  4. Executive oversight

Question 10

A patient presented with shortness of breath, elevated B-type natriuretic peptide, and lower extremity edema to the emergency room. During the hospitalization, a cardiac echocardiogram was performed and revealed an ejection fraction of 55% with diastolic dysfunction. The patient's history includes hypertension (HTN), chronic kidney disease (CKD) (baseline glomerular filtration rate 40) and congestive heart failure (CHF). The clinical documentation integrity practitioner (CDIP) has queried the physician to further clarify the patient’s diagnosis. Which response provides the highest level of specificity?

  1. Acute CHF with hypertensive renal disease, CKD 3
  2. Acute diastolic CHF with HTN and CKD 3
  3. Acute on chronic diastolic CHF with hypertensive renal disease, CKD 3
  4. Acute on chronic systolic CHF with hypertensive renal disease, CKD 3