What is a secondary condition that arises during hospitalization and is
thought to increase the length of stay (LOS) called?
Complication and comorbidity
3 multiple choice options
Compliant multiple-choice queries:
Can provide a new diagnosis with supporting clinical indicators
3 multiple choice options
Select the appropriate MS-DRG for the following scenario using the table
below:
A 43-year-old patient presents with shortness of breath, elevated white
blood cell count, and fever. Repeat chest x-rays show minimal
consolidation. The physician documents a final diagnosis of pneumonia.
Past medical history is significant for diabetes on Novolog and some
neuropathy. The final DRG is
195
3 multiple choice options
This patient was admitted following a sports accident that resulted in a
traumatic brain injury (TBI). On discharge, it is noted the patient
continues to have no feeling or mobility in the lower extremities on neuro
checks. MRI shows injury of the lumbar spine and spinal contusion. The
CDI professional should consider what diagnosis in formulating the
query?
Paraplegia
3 multiple choice options
A patient presented with nausea, vomiting, and diarrhea for 3 days. The
patient had a blood pressure of 80/42, creatine level 2.1, with a baseline
creatin of 1.0 and lactic 3.6. The patient's GI panel and stool culture
, were negative. The patient was treated with empiric antibiotics and
aggressive IV fluid resuscitation. Discharge summary diagnoses were
gastroenteritis and AKI. What other condition could be considered based
on the documentation?
Hypovolemic shock
3 multiple choice options
Queries may be either verbal or written and may be generated
All of the above
3 multiple choice options
Gina is a new CDI professional. She is validating whether Piperacillin
was given to a patient. She should review the
Medication administration records (MARs)
3 multiple choice options
Queries should be performed by
Professionals trained and educated in the compliant query process
3 multiple choice options
Per the CMS "Conditions of Participation," this document should be
completed no more than 30 days before or 24 hours after admission.
History and physical
3 multiple choice options
Mr. Ames presented through the ED with extreme fatigue, shortness of
breath, abdominal pain, and melanic stools. He stated he noticed this
last week but was hesitant to see the doctor. EGD and colonoscopy
were performed, which showed duodenal ulcer with some evidence of
bleed. The CDI professional should consider what diagnosis in
formulating the query?
Acute blood loss anemia