Cdip exam prep with complete solutions

Cert - Answer- Comprehensive error testing rate Cpt - Answer- Current procedural terminology. The amas list of 5 digit codes used to report outpatient hospital and Physicians Medical and surgical services. CPT is used to report outpatient or Physician Office claims only and is updated annually in January. Hac - Answer- Hospital-acquired conditions are defined as for discharges occurring on or after October one 2008 ipps hospitals will not receive additional payment for cases when one of the selected conditions is acquired during hospitalization. In such cases payment will not be driven Higher by the secondary diagnosis if it is identified as an h a c. Qio - Answer- An organization responsible for determining whether care and services provided were medically necessary and meet Professional Standards regarding eligibility for reimbursement under Medicare and Medicaid programs. Rom - Answer- The anticipated likelihood of dying Soi - Answer- Severity of illness supportive documentation reflecting objective clinical indicators of a patient illness and the extent of physiologic decompensation or loss of organ system function. Wbc - Answer- Normal range for WBC is 5 to 10 mm 3. The critical value for this lab value is less than 2.5 or greater than 30. Hgb - Answer- Hemoglobin for males normal range is 14 through 18 for females normal range is 12 through 16. Hct - Answer- Hematocrit normal range for males is 42 to 52. Normal range for females is 37 to 47. Platelets - Answer- Normal range to mm 3 Cardiac markers include - Answer- CPK normal value 25 to 200. C K - MB normal value less than 12 if total CK less than 400. Troponin normal value less than 0.4. BNP normal value less than 100. However in patients with chronic renal failure or heart failure Base Line levels will be higher. Blood chemistry normal values - Answer- Sodium 1:36 to 1:45. Chloride 98 through 106. Potassium 3.525. Carbon dioxide 23 to 30. Calcium 8.5 to 10.5. BUN 7 to 20. Creatinine 0.5 to 1.5. glucose 8220. Hemoglobin A1c less than six. Ammonia 10 to 40 amylase 25 to 150. Lipase 0 to 1:40. Albumin 3.5 to 5. Abgs - Answer- pH normal 7.35 to 7.45. Paco2 35 to 45. Pao2 80 to 100. Hco3 21 to 28. O2 saturation 95 to 100%. Assigning the drg - Answer- Identify the principal diagnosis. Identify the secondary diagnosis. Validate that all DX findings nurses notes lab values treatments and medications ordered are explained in documentation. Identify procedures. Assign the ms-drg for all appropriate options. Secondary diagnosis that impact severity of illness and risk of mortality - Answer- Acidosis, alkalosis, apnea, autoimmune diseases, awaiting transplant status, BMI, bundle branch block, CHF, CKD stages 2 or 3, COPD, dementia, dependence on oxygen, dependence on ventilator, diabetes linked to manifestation such as neuropathy and nephropathy, dysphagia, hematuria, hemiplegia, history of cardiac arrest, hypocalcemia, hypokalemia, hypomagnesemia, hypotension hypoxia, mitral regurgitation, malnutrition, morbid obesity, obesity, pressure ulcer, residual from CVA, thrombocytopenia, trach status, transplant status Hrrp Hospital readmission Reduction - Answer- The hrrp program is administered by CMS as part of its inpatient Quality Reporting program, or IQR and was authorized under the Affordable Care Act of 2010 to link quality (readmission rates) to medicare payment. Under this program Hospital readmission rates are measured retrospectively via a three-year rolling of data. How are Hospital readmissions tracked? - Answer- Seven types of admissions including acute and I, heart failure, ammonia, COPD, total hip arthroplasty, total knee arthroplasty, CAbg. What is all-cause readmission? - Answer- As previously noted this is not part of the hrrp program and currently hospitals are not assessed penalties based on excess admissions but this information is being tracked and is publicly available on the CMS Hospital compare website. The outcome for this measure is all cause unplanned readmissions within 30 days. Patients are divided into six mutually exclusive specialty cohorts for appropriate readmission risk assessment classification. These include medicine gynecology cardiorespiratory cardiovascular and neurology. The index admission criteria is the same as for the hrrp program and includes patients enrolled in Medicare fee-for-service, age 65 or over, DC from non-federal acute care hospital or VA Hospital alive, not transferred to another acute care facility, and enrolled in part A & B Medicare for the 12 months prior to the date of the index admission. Index ignitions excluded from the measure include admission to PPS exempt cancer hospitals, admission without at least 30 days post DC enrollment in ffs Medicare, DC Ama, admit for primary psych diagnosis, admit for Rehab, admit for medical treatment of cancer. Ekg rhythms - Answer- Common EKG rhythms include sinus rhythm, atrial fibrillation, atrial flutter, AV pacing, ventricular tachycardia, ventricular fibrillation, and agonal rhythm