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Newly Released AHIMA CDIP Exam PDF

Page: 11 / 11
Total 140 questions
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Certified Documentation Integrity Practitioner Questions and Answers

Question 41

Which of the following is a clinical documentation integrity (CDI) financial impact measure?

Options:

A.

Severity of illness

B.

Hierarchical condition category

C.

Case mix index

D.

Release of information

Question 42

The facility has received a clinical validation denial for sepsis. The denial states sepsis is not a clinically valid diagnosis because it does not meet Sepsis-3 criteria. The facility has a policy stating it uses Sepsis-2 criteria. What is the BEST next step?

Options:

A.

Remove sepsis from all claims where the diagnosis is not supported by sepsis 3 criteria.

B.

Appeal the denial because all payors must use the hospital's sepsis criteria when reviewing their claims.

C.

Query physicians when Sepsis-3 criteria is not met so they can provide additional documentation to support the diagnosis.

D.

Have the contracting department work with payors to obtain agreement on how sepsis will be clinically validated.

Page: 11 / 11
Total 140 questions
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