CDIP EXAMS TEST PAPER QUESTIONS AND
ANSWERS SET A+
Excludes 1 - ✔✔Under ICD-10-CM, a type 1 Excludes note is a pure exclusion note. It
means 'not coded here'.
Excludes 2 - ✔✔A type 2 Excludes note represents 'not included here'. It indicates that
the condition excluded is not part of the condition represented by the code, but the
patient may have both conditions at the same time.
First-listed Diagnosis - ✔✔In the outpatient setting, the term first-listed diagnosis is used
in lieu of principal diagnosis. In determining the first-listed diagnosis, the coding
conventions of ICD-10-CM take precedence.
Forming - ✔✔The first of four steps in assembling a functional team.
Fraud - ✔✔The intentional deception or misrepresentation that an individual knows, or
should know, to be false, or does not believe to be true, and makes, knowing the
deception could result in some unauthorized benefit to themselves or some other
person(s).
Gap Analysis - ✔✔A review of the collected literature and data to assess whether gaps
exist and advice for those conducting the literature review on additional literature and
data resources missed.
Geometric Mean Length of Stay (GMLOS) - ✔✔A statistically adjusted value of all cases
of a given Medicare severity diagnosis-related group (MS-DRG), allowing for the
outliers, transfer cases, and negative outlier cases that would normally skew that data.
Global Surgical Package (CMS definition) - ✔✔The global surgical package includes all
the necessary services normally furnished by a surgeon before, during, and after a
procedure.
, Goal - ✔✔A specific description of the services or deliverable goods to be provided as a
result of a business process.
Health Insurance Portability and Accountability Act of 1996 (HIPAA) - ✔✔The federal
legislation enacted to provide continuity of health coverage, control fraud and abuse in
healthcare, reduce healthcare costs, and guarantee the security and privacy of health
information.
Healthcare Common Procedure Coding System (HCPCS) - ✔✔A medical code set that
identifies health procedures, equipment, and supplies for claims submission purposes.
Healthcare Effectiveness Data and Information Set (HEDIS) - ✔✔A set of standard
performance measures that can give you information about the quality of a health plan.
Hierarchical Categorization Coding - ✔✔A payment model that identifies individuals with
serious or chronic illness and assigns a risk factor score based upon a combination of
the individual's health conditions and demographic details.
Hospital Compare - ✔✔Developed through the efforts of Medicare and the Hospital
Quality Alliance to publicly report information about quality of care.
HCAHPS survey - ✔✔The first national, standardized, publicly reported survey of
patients' perspectives of hospital care.
Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) -
✔✔A standardized survey tool used to measure patients' perceptions of hospital care.
Hospital Readmission Reduction Program (HRRP) - ✔✔A Medicare value-based
purchasing program that encourages hospitals to improve communication and care
coordination to reduce avoidable readmissions.
Hospital-Acquired Condition (HAC) - ✔✔Conditions identified by the Secretary that are
high cost or high volume, result in higher payment when present as a secondary
diagnosis, and could have been prevented.
Hospital-Acquired Infection (HAI) - ✔✔An infection occurring in a patient in a hospital or
healthcare setting that was not present or incubating at the time of admission.
Indicator - ✔✔A broad term encompassing documentation that supports a diagnosis as
reportable and/or establishes the presence of a condition.
Information Blocking - ✔✔A practice by an 'actor' that is likely to interfere with the
access, exchange, or use of electronic health information.
ANSWERS SET A+
Excludes 1 - ✔✔Under ICD-10-CM, a type 1 Excludes note is a pure exclusion note. It
means 'not coded here'.
Excludes 2 - ✔✔A type 2 Excludes note represents 'not included here'. It indicates that
the condition excluded is not part of the condition represented by the code, but the
patient may have both conditions at the same time.
First-listed Diagnosis - ✔✔In the outpatient setting, the term first-listed diagnosis is used
in lieu of principal diagnosis. In determining the first-listed diagnosis, the coding
conventions of ICD-10-CM take precedence.
Forming - ✔✔The first of four steps in assembling a functional team.
Fraud - ✔✔The intentional deception or misrepresentation that an individual knows, or
should know, to be false, or does not believe to be true, and makes, knowing the
deception could result in some unauthorized benefit to themselves or some other
person(s).
Gap Analysis - ✔✔A review of the collected literature and data to assess whether gaps
exist and advice for those conducting the literature review on additional literature and
data resources missed.
Geometric Mean Length of Stay (GMLOS) - ✔✔A statistically adjusted value of all cases
of a given Medicare severity diagnosis-related group (MS-DRG), allowing for the
outliers, transfer cases, and negative outlier cases that would normally skew that data.
Global Surgical Package (CMS definition) - ✔✔The global surgical package includes all
the necessary services normally furnished by a surgeon before, during, and after a
procedure.
, Goal - ✔✔A specific description of the services or deliverable goods to be provided as a
result of a business process.
Health Insurance Portability and Accountability Act of 1996 (HIPAA) - ✔✔The federal
legislation enacted to provide continuity of health coverage, control fraud and abuse in
healthcare, reduce healthcare costs, and guarantee the security and privacy of health
information.
Healthcare Common Procedure Coding System (HCPCS) - ✔✔A medical code set that
identifies health procedures, equipment, and supplies for claims submission purposes.
Healthcare Effectiveness Data and Information Set (HEDIS) - ✔✔A set of standard
performance measures that can give you information about the quality of a health plan.
Hierarchical Categorization Coding - ✔✔A payment model that identifies individuals with
serious or chronic illness and assigns a risk factor score based upon a combination of
the individual's health conditions and demographic details.
Hospital Compare - ✔✔Developed through the efforts of Medicare and the Hospital
Quality Alliance to publicly report information about quality of care.
HCAHPS survey - ✔✔The first national, standardized, publicly reported survey of
patients' perspectives of hospital care.
Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) -
✔✔A standardized survey tool used to measure patients' perceptions of hospital care.
Hospital Readmission Reduction Program (HRRP) - ✔✔A Medicare value-based
purchasing program that encourages hospitals to improve communication and care
coordination to reduce avoidable readmissions.
Hospital-Acquired Condition (HAC) - ✔✔Conditions identified by the Secretary that are
high cost or high volume, result in higher payment when present as a secondary
diagnosis, and could have been prevented.
Hospital-Acquired Infection (HAI) - ✔✔An infection occurring in a patient in a hospital or
healthcare setting that was not present or incubating at the time of admission.
Indicator - ✔✔A broad term encompassing documentation that supports a diagnosis as
reportable and/or establishes the presence of a condition.
Information Blocking - ✔✔A practice by an 'actor' that is likely to interfere with the
access, exchange, or use of electronic health information.
