Cdip exam prep question n answers 2023

Cdip exam prepCert - correct answer Comprehensive error testing rate Cpt - correct 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 - correct 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 - correct 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 - correct answer The anticipated likelihood of dying Soi - correct 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 - correct 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 - correct answer Hemoglobin for males normal range is 14 through 18 for females normal range is 12 through 16. Hct - correct answer Hematocrit normal range for males is 42 to 52. Normal range for females is 37 to 47. Platelets - correct answer Normal range 150000 to 450000 mm 3 Cardiac markers include - correct 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 - correct 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 - correct 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 - correct 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 - correct 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 - correct 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? - correct 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? - correct 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