CCDS IBHRE NEW 3 VERSIONS ALL 550 QUESTIONS AND
CORRECT DETAILED SOLUTIONS LATEST UPDATED
VERSION JUST RELEASED
Question: A patient is admitted with pneumonia, stage 1 chronic renal failure, chronic anemia,
and COPD, While hospitalized the patient receives IV antibiotics, inhalers, oxygen, IV fluids at
50mL/hr, and iron tablets. Keeping the guidelines for coding of secondary diagnoses in mind,
which condition should be coded?
A. Pneumonia only
B. Pneumonia and COPD only
C. Pneumonia, COPD, and anemia
D. All of the conditions should be coded - CORRECT ANSWER✔✔D. All of the conditions should
be coded
Question: Which of the following is an example of a hospital-acquired condition?
A. Fat embolism
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B. IV phlebitis
C. Pneumonia
D. Fractured ulna - CORRECT ANSWER✔✔D. Fractured ulna
Question: Which of the following is an example of documentation that would meet the present
on admission criteria for coding?
A. A diagnosis that is indicated in the history and physical and ruled out in the discharge
summary
B. A diagnosis found in a previous medical record
C. A diagnosis that is listed as possible in the history and physical
D. An acute condition identified on the third day of admission - CORRECT ANSWER✔✔C. A
diagnosis that is listed as possible in the history and physical
Question: A patient is admitted with abdominal pain and the history and physical indicated a
diagnosis of probable colon cancer. On day two, the physician documents acute renal failure in
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the progress notes and the patient receives IV fluids. The discharge summary lists possible
metastatic colon cancer and acute renal failure. The principal diagnosis would be:
A. Colon cancer
B. Acute renal failure
C. Abdominal pain
D. Metastatic neoplasm of the colon - CORRECT ANSWER✔✔A. Colon cancer
Question: Accurate documentation should:
1. Include identification of the patient's SOI
2. Identify conditions that are present on admission
3. Support medical necessity
A. 1 and 2
B. 2 and 3
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C. 1 and 3
D. 1,2, and 3 - CORRECT ANSWER✔✔D. 1,2, and 3
1. Include identification of the patient's SOI
2. Identify conditions that are present on admission
3. Support medical necessity
Question: A patient with a history of metastatic lung cancer is directly admitted from the
doctor's office with a diagnosis of anemia secondary to chemotherapy. The patient receives two
units of PRBCs and is discharged. What is the most appropriate principal diagnosis?
A. Respiratory neoplasm
B. Anemia
C. Admission for chemotherapy
D. Admission for blood transfusion - CORRECT ANSWER✔✔B. Anemia