A 69-year-old patient with ESRD is admitted D. Assign infection and inflammatory reaction due to vascular device as the prin
with signs and symptoms of sepsis. diagnosis
Admitting vital signs are 102.5, 122, 24,
90/58; WBC is 22; neuts are 78; bands are
11%. The physician documents "infected vas-
cath leading to sepsis" and the catheter is
removed. The CDI specialist should:
A. Query for sepsis as the principal
diagnosis
B. Query for bandemia as the principal
diagnosis
C. Assign ESRD as the principal diagnosis
D. Assign infection and inflammatory
reaction due to vascular device as the
principal diagnosis
,Accurate documentation should: D. 1,2, and 3
1. Include identification of the patient's SOI 1. Include identification of the patient's SOI
2. Identify conditions that are present on 2. Identify conditions that are present on admission
admission 3. Support medical necessity
3. Support medical necessity
A. 1 and 2
B. 2 and 3
C. 1 and 3
D. 1,2, and 3
After final coding, the coder identifies a B. Review the final codes and determine if coding guidelines were broken
discrepancy between the CDI specialist's
working DRG and the final coded DRG. To
best understand this discrepancy, the CDI
specialist should first:
A. Escalate the case to the coding manager
B. Review the final codes and determine if
coding guidelines were broken
C. Forward the case for billing without CDI
review
D. As the physician champion to review the
case
,Aplastic anemia: B. Is defined as bone marrow failure causing a reduction in white blood cells, re
blood cells, and platelets
A. Is hereditary and can only be sequenced
as the principal diagnosis
B. Is defined as bone marrow failure
causing a reduction in white blood cells,
red blood cells, and platelets
C. Is chronic and easily treated
D. Qualifies as a minor comorbid condition
(CC)
Appropriate sequencing for a patient with A. The systemic infection is always sequenced as principal diagnosis
urinary tract infection (UTI), pneumonia, and
sepsis, all present on admission, recognizes
that:
A. The systemic infection is always
sequenced as principal diagnosis
B. The systemic infection is always
sequenced as secondary diagnosis
C. The ICD-10 code for SIRS should be
sequenced as principal diagnosis
D. Documented organ failure is necessary
before one can code sepsis
, Based upon medical necessity A. Hypertension
requirements, which of the following
principal diagnoses is most likely to be
denied?
A. Hypertension
B. Healthcare-acquired pneumonia
C. Exacerbation of systolic heart failure
D. UTI
with signs and symptoms of sepsis. diagnosis
Admitting vital signs are 102.5, 122, 24,
90/58; WBC is 22; neuts are 78; bands are
11%. The physician documents "infected vas-
cath leading to sepsis" and the catheter is
removed. The CDI specialist should:
A. Query for sepsis as the principal
diagnosis
B. Query for bandemia as the principal
diagnosis
C. Assign ESRD as the principal diagnosis
D. Assign infection and inflammatory
reaction due to vascular device as the
principal diagnosis
,Accurate documentation should: D. 1,2, and 3
1. Include identification of the patient's SOI 1. Include identification of the patient's SOI
2. Identify conditions that are present on 2. Identify conditions that are present on admission
admission 3. Support medical necessity
3. Support medical necessity
A. 1 and 2
B. 2 and 3
C. 1 and 3
D. 1,2, and 3
After final coding, the coder identifies a B. Review the final codes and determine if coding guidelines were broken
discrepancy between the CDI specialist's
working DRG and the final coded DRG. To
best understand this discrepancy, the CDI
specialist should first:
A. Escalate the case to the coding manager
B. Review the final codes and determine if
coding guidelines were broken
C. Forward the case for billing without CDI
review
D. As the physician champion to review the
case
,Aplastic anemia: B. Is defined as bone marrow failure causing a reduction in white blood cells, re
blood cells, and platelets
A. Is hereditary and can only be sequenced
as the principal diagnosis
B. Is defined as bone marrow failure
causing a reduction in white blood cells,
red blood cells, and platelets
C. Is chronic and easily treated
D. Qualifies as a minor comorbid condition
(CC)
Appropriate sequencing for a patient with A. The systemic infection is always sequenced as principal diagnosis
urinary tract infection (UTI), pneumonia, and
sepsis, all present on admission, recognizes
that:
A. The systemic infection is always
sequenced as principal diagnosis
B. The systemic infection is always
sequenced as secondary diagnosis
C. The ICD-10 code for SIRS should be
sequenced as principal diagnosis
D. Documented organ failure is necessary
before one can code sepsis
, Based upon medical necessity A. Hypertension
requirements, which of the following
principal diagnoses is most likely to be
denied?
A. Hypertension
B. Healthcare-acquired pneumonia
C. Exacerbation of systolic heart failure
D. UTI
