CDIP FINAL EXAM 2025 WITH ACTUAL
CORRECT QUESTIONS AND VERIFIED
DETAILED RATIONALES ANSWERS
|FREQUENTLY TESTED QUESTIONS AND
SOLUTIONS |ALREADY GRADED A+|LATEST
UPDATE|GUARANTEED PASS
A 68-year old nursing home patient with status post CVA 2 weeks ago presents via the ED with a
1-day history of fever, and elevated blood sugars in the 180-210 range. The patient has stated
they have significant pain of the right buttock since the previous admission. The patient has a
history of diabetes, and is on long-term insulin. On physical exam, it is noted the patient had a
fever of 101.3 with purulent drainage with exposure of subcutaneous fat. This type of ulcer can
be called a:
A) Stage I
B) Stage II
C) Stage III
D) Stage IV
C) Stage III
Stage 1 ulcers have not yet broken through the skin.
Stage 2 ulcers have a break in the top two layers of skin.
Stage 3 ulcers affect the top two layers of skin, as well as fatty tissue.
Stage 4 ulcers are deep wounds that may impact muscle, tendons, ligaments, and bone.
The financial statement that presents a record of operations by showing revenue expenses over
a period of time is called the:
A) Income statement
B) Balance sheet
C) Statement of cashflows
D) Statement of retained earnings
A) Income statement
In project management, what is a work breakdown structure?
A) A list of the project deliverables
1|Page
,B) A hierarchical list of the project tasks
C) A document that defines team roles and responsibilities
D) A list of project scope changes
B) A hierarchical list of the project tasks
A physician query may be appropriate in which of the following:
A) Diagnosis of diastolic heart failure noted in the progress notes and echocardiogram showing
systolic dysfunction with cardiomegaly
B) Discharge summary indicates chronic pancreatitis but the progress notes document acute
pancreatitis throughout the stay
C) A colonic mass was removed via colonoscopy and sent to pathology. The diagnosis of
malignant carcinoma of the colon mass when pathology state no malignancy
D) All of the above
D) All of the above
The CDI manager at Star Hospital has been concerned aboput the hospital quality ratings over
the past 2 years. She has been focused on educating physicians on documentation and working
with CDS staff on hospital acquired conditions and MCC/CC capture.She may also want to
educated regarding which area below to increase quality score:
A) The principal diagnosis
B) The principal procedure
C) SOI
D) None of the above
C) SOI
The recovery auditor performed a review of 20 inpatient records. In review of the audit findings,
it was determined the denials all had a common target. Review the denial summary below and
determine what was targeted by the auditors:
186
MED
Pleural effusion w/MCC
190
MED
COPD w/MCC
291
MED
Heart failure and shock w/MCC
388
2|Page
,MED
G.L. obstruction w/MCC
A) Review of medical DRGs
B) Review of LOS greater than 2 days
C) Review of DRGs with MCC
D) Both A and C
D) Both A and C
The CDS review specialist has been performing CDI review on the first day of admission. What
impact could this have on the review process?
A) None
B) Provides the opportunity to capture POA diagnoses
C) Can provide little positive impact due to clinical documentation is normally incomplete on the
first day
D) Gives the CDS the opportunity for the CDS to add the physician in building the
documentation
C) Can provide little positive impact due to clinical documentation is normally incomplete on the
first day
A set of indicators providing information on potential in hospital complications and adverse
events following surgeries, procedures, and childbirth:
A) Core measures
B) Healthcare Effectiveness Data and Information Set (HEDIS)
C) Physician Quality Reporting System (PQRS)
D) Patient Safety Indicators (PSI)
D) Patient Safety Indicators (PSI)
The fiscal year 2016 Acute Patient Inpatient Prospective Payment System Final Rule Tables can
be used by the CDI Specialist to determine the weight and estimated ______of each MS-DRG.
A) Case mix
B) Formula
C) Quality
D) Payment
D) Payment
In assessing the quality of care given to a patient with diabetes mellitus, the CQI group collects
data regarding blood sugar levels on admission and on discharge. This data is called:
A) Indicator
3|Page
, B) Measurement
C) Assessment
D) Outcome
A) Indicator
What kind of data might be displayed on a pie chart?
A) Average length of stay per year
B) Percentage of discharges by third-party payer
C) Number of discharges per year by third-party payer
D) Number of patients discharged by sex and service
B) Percentage of discharges by third-party payer
A pie chart is an easily understood chart in which sizes of the pie show the proportional
contribution of each part. Pie charts can be used to show the component parts of a single
group or variable and are intended for interval or ratio data.
If a code does not agree with a code corresponding with the Medicare Code Edit table of
acceptable codes, it is considered
A) Duplicate
B) Invalid
C) Conflicting
D) Unacceptable
B) Invalid
The codes for postoperative complications have been expanded and a distinction made
between intraoperative complications and what?
A) Other postop complications
B) Postprocedural disorders
C) Complications of trauma
D) Intraoperative lacerations
B) Postprocedural disorders
This system is currently being used in EHR systems as a clinical reference terminology to capture
data for problem lists and patient assessments at the point of care:
A) Problem-oriented record
B) CPT
C) SNOMED-CT
D) DSM-V
C) SNOMED-CT
4|Page
CORRECT QUESTIONS AND VERIFIED
DETAILED RATIONALES ANSWERS
|FREQUENTLY TESTED QUESTIONS AND
SOLUTIONS |ALREADY GRADED A+|LATEST
UPDATE|GUARANTEED PASS
A 68-year old nursing home patient with status post CVA 2 weeks ago presents via the ED with a
1-day history of fever, and elevated blood sugars in the 180-210 range. The patient has stated
they have significant pain of the right buttock since the previous admission. The patient has a
history of diabetes, and is on long-term insulin. On physical exam, it is noted the patient had a
fever of 101.3 with purulent drainage with exposure of subcutaneous fat. This type of ulcer can
be called a:
A) Stage I
B) Stage II
C) Stage III
D) Stage IV
C) Stage III
Stage 1 ulcers have not yet broken through the skin.
Stage 2 ulcers have a break in the top two layers of skin.
Stage 3 ulcers affect the top two layers of skin, as well as fatty tissue.
Stage 4 ulcers are deep wounds that may impact muscle, tendons, ligaments, and bone.
The financial statement that presents a record of operations by showing revenue expenses over
a period of time is called the:
A) Income statement
B) Balance sheet
C) Statement of cashflows
D) Statement of retained earnings
A) Income statement
In project management, what is a work breakdown structure?
A) A list of the project deliverables
1|Page
,B) A hierarchical list of the project tasks
C) A document that defines team roles and responsibilities
D) A list of project scope changes
B) A hierarchical list of the project tasks
A physician query may be appropriate in which of the following:
A) Diagnosis of diastolic heart failure noted in the progress notes and echocardiogram showing
systolic dysfunction with cardiomegaly
B) Discharge summary indicates chronic pancreatitis but the progress notes document acute
pancreatitis throughout the stay
C) A colonic mass was removed via colonoscopy and sent to pathology. The diagnosis of
malignant carcinoma of the colon mass when pathology state no malignancy
D) All of the above
D) All of the above
The CDI manager at Star Hospital has been concerned aboput the hospital quality ratings over
the past 2 years. She has been focused on educating physicians on documentation and working
with CDS staff on hospital acquired conditions and MCC/CC capture.She may also want to
educated regarding which area below to increase quality score:
A) The principal diagnosis
B) The principal procedure
C) SOI
D) None of the above
C) SOI
The recovery auditor performed a review of 20 inpatient records. In review of the audit findings,
it was determined the denials all had a common target. Review the denial summary below and
determine what was targeted by the auditors:
186
MED
Pleural effusion w/MCC
190
MED
COPD w/MCC
291
MED
Heart failure and shock w/MCC
388
2|Page
,MED
G.L. obstruction w/MCC
A) Review of medical DRGs
B) Review of LOS greater than 2 days
C) Review of DRGs with MCC
D) Both A and C
D) Both A and C
The CDS review specialist has been performing CDI review on the first day of admission. What
impact could this have on the review process?
A) None
B) Provides the opportunity to capture POA diagnoses
C) Can provide little positive impact due to clinical documentation is normally incomplete on the
first day
D) Gives the CDS the opportunity for the CDS to add the physician in building the
documentation
C) Can provide little positive impact due to clinical documentation is normally incomplete on the
first day
A set of indicators providing information on potential in hospital complications and adverse
events following surgeries, procedures, and childbirth:
A) Core measures
B) Healthcare Effectiveness Data and Information Set (HEDIS)
C) Physician Quality Reporting System (PQRS)
D) Patient Safety Indicators (PSI)
D) Patient Safety Indicators (PSI)
The fiscal year 2016 Acute Patient Inpatient Prospective Payment System Final Rule Tables can
be used by the CDI Specialist to determine the weight and estimated ______of each MS-DRG.
A) Case mix
B) Formula
C) Quality
D) Payment
D) Payment
In assessing the quality of care given to a patient with diabetes mellitus, the CQI group collects
data regarding blood sugar levels on admission and on discharge. This data is called:
A) Indicator
3|Page
, B) Measurement
C) Assessment
D) Outcome
A) Indicator
What kind of data might be displayed on a pie chart?
A) Average length of stay per year
B) Percentage of discharges by third-party payer
C) Number of discharges per year by third-party payer
D) Number of patients discharged by sex and service
B) Percentage of discharges by third-party payer
A pie chart is an easily understood chart in which sizes of the pie show the proportional
contribution of each part. Pie charts can be used to show the component parts of a single
group or variable and are intended for interval or ratio data.
If a code does not agree with a code corresponding with the Medicare Code Edit table of
acceptable codes, it is considered
A) Duplicate
B) Invalid
C) Conflicting
D) Unacceptable
B) Invalid
The codes for postoperative complications have been expanded and a distinction made
between intraoperative complications and what?
A) Other postop complications
B) Postprocedural disorders
C) Complications of trauma
D) Intraoperative lacerations
B) Postprocedural disorders
This system is currently being used in EHR systems as a clinical reference terminology to capture
data for problem lists and patient assessments at the point of care:
A) Problem-oriented record
B) CPT
C) SNOMED-CT
D) DSM-V
C) SNOMED-CT
4|Page
