CDIP EXAMS COMPILED FULLY SOLVED EXAM
PAPER GRADED A+
◉ 7 Characteristics of high-quality documentation.
Answer: Clear
Precise
Reliable
Consistent
Legibility
Complete
Timely
◉ SOI/ROM.
Answer: The SOI/ROM assignment is a system used to reflect the
Severity of the patient's condition and risk of dying from the
identified condition
◉ SOI / ROM.
Answer: 1-Minor
2-moderate
3-major
4-Extreme
,◉ POA assignment.
Answer: Due to the deficit reduction act of 2005, all hospitals are
required to report this indicator for all diagnosis for discharge.
◉ POA assignment options.
Answer: N - no not present at the time of admission
Y - yes present at the time of admission time of admission present
on admission
U - unknown - documentation is insufficient to determine if POA
W- Clinically undetermined- provider is unable to determine
whether POA or not
E- exempt from reporting POA
◉ NEC.
Answer: ( not elsewhere classifiable )
◉ NEC meaning.
Answer: represents the situation when a condition has been
specified but a specific code is not available
◉ NOS.
Answer: ( not otherwise specified )
, ◉ NOS meaning.
Answer: equivalent of " unspecified "
The provider has not specified the diagnostic term further
◉ Excludes 1.
Answer: " Not coded here ! " this is an absolute , meaning that the 2
codes can not be coded together
◉ Excludes 2.
Answer: " Not included here ! ' this means that the two terms can be
coded together.
It indicates that the condition & the note is not part of the condition
above
◉ " Code also ".
Answer: indicates the coder must code two codes to properly
identify the dx/condition
◉ " with " or " in ".
Answer: Can translate to "due to" or associated with when it appears
in the title code . This presumes a causal relationship between the
two dx/conditions linked by these terms in either the Alphabetic
Index or the Tabular list . These should be coded as linked even
PAPER GRADED A+
◉ 7 Characteristics of high-quality documentation.
Answer: Clear
Precise
Reliable
Consistent
Legibility
Complete
Timely
◉ SOI/ROM.
Answer: The SOI/ROM assignment is a system used to reflect the
Severity of the patient's condition and risk of dying from the
identified condition
◉ SOI / ROM.
Answer: 1-Minor
2-moderate
3-major
4-Extreme
,◉ POA assignment.
Answer: Due to the deficit reduction act of 2005, all hospitals are
required to report this indicator for all diagnosis for discharge.
◉ POA assignment options.
Answer: N - no not present at the time of admission
Y - yes present at the time of admission time of admission present
on admission
U - unknown - documentation is insufficient to determine if POA
W- Clinically undetermined- provider is unable to determine
whether POA or not
E- exempt from reporting POA
◉ NEC.
Answer: ( not elsewhere classifiable )
◉ NEC meaning.
Answer: represents the situation when a condition has been
specified but a specific code is not available
◉ NOS.
Answer: ( not otherwise specified )
, ◉ NOS meaning.
Answer: equivalent of " unspecified "
The provider has not specified the diagnostic term further
◉ Excludes 1.
Answer: " Not coded here ! " this is an absolute , meaning that the 2
codes can not be coded together
◉ Excludes 2.
Answer: " Not included here ! ' this means that the two terms can be
coded together.
It indicates that the condition & the note is not part of the condition
above
◉ " Code also ".
Answer: indicates the coder must code two codes to properly
identify the dx/condition
◉ " with " or " in ".
Answer: Can translate to "due to" or associated with when it appears
in the title code . This presumes a causal relationship between the
two dx/conditions linked by these terms in either the Alphabetic
Index or the Tabular list . These should be coded as linked even
