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ACDIS Certified Clinical Documentation Specialist Sample Questions:
A patient is admitted with confusion and a history of alcoholic cirrhosis. Ammonia level is 100 µ/L and the blood alcohol level is 2.9. Based on these clinical indicators, the CDI specialist should query the physician for which of the following conditions?
- A. Alcohol poisoning
- B. Delirium
- C. ETOH dependence
- D. Hepatic failure
Correct Answer: D 🗳️
Explanation: Only visible for VCE4Dumps members. You can sign-up / login (it's free).
A CDI manager finds that cardiology providers receive repeated queries for heart-failure acuity and type.
Which educational intervention is MOST appropriate?
- A. Send all providers the entire ICD-10-CM code book
- B. Provide cardiology-specific education using the department's own documentation trends and clinical examples
- C. Tell providers that unspecified heart failure reduces reimbursement
- D. Stop issuing heart-failure queries for one month
Correct Answer: B 🗳️
Explanation: Only visible for VCE4Dumps members. You can sign-up / login (it's free).
A patient undergoes total knee replacement. The patient has no DVT on admission but develops a postoperative deep vein thrombosis during the hospitalization. Why is accurate POA documentation particularly important?
- A. Every postoperative DVT automatically eliminates the entire hospital payment
- B. A DVT following certain orthopedic procedures can fall within the CMS HAC payment policy
- C. POA status applies only to infectious diseases
- D. DVTs are never reportable after surgery
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. Reissue the same query until the provider selects the MCC
- B. Ask coding to assign the MCC anyway
- C. Reject the answer because it does not produce an MCC
- D. Accept the clinically supported provider response
Correct Answer: D 🗳️
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A patient undergoes outpatient surgery at 9:00 AM. At 1:00 PM, while still in outpatient status, the patient develops an acute complication. The physician writes an inpatient admission order at 4:00 PM. The complication remains present at that time. How is the condition generally treated for POA purposes?
- A. POA = N because it occurred in the hospital
- B. POA cannot apply to complications
- C. POA = U because it began during outpatient care
- D. POA = Y because it was present when inpatient admission occurred
Correct Answer: D 🗳️
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