QUESTION: 5

When a change in departmental workflow is necessary, the first step is to

re-engineer the process
assess the current workflow
define the gaps and solutions
set realistic timelines

Answer(s): B

The third quarter target concurrent physician query response rate for each physician in a hospital gastroenterology department was 80%. Nine physicians met or exceeded this metric; however, two physicians had third quarter concurrent physician query response rates of 19% and 64%. What is the best course of action for the clinical documentation integrity (CDI) physician advisor/champion?

Schedule a meeting with the chair of the gastroenterology department
Schedule individual meetings with each low-performing physician
Schedule a group meeting with all physicians
Schedule individual meetings with each physician

Answer(s): B

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QUESTION: 7

Patient is admitted with oliguria, pulmonary edema, and dehydration. Labs are remarkable for an elevated creatinine of 2.4, with a baseline of 1.1. Patient was hydrated for 48 hours with drop in creatinine. What would the appropriate action be?

No query is needed because the patient was dehydrated
Code acute renal failure since symptoms are there and documented
Query the physician to see if acute renal failure is clinically supported
Query the physician to see if acute renal failure with tubular necrosis is supported

Answer(s): C

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QUESTION: 8

A noncompliant query includes querying the provider regarding:

gram-negative pneumonia on every pneumonia case, regardless of documented clinical indicators
morbid obesity due to BMI of 40.9 documented on the history and physical
acute blood loss anemia due to low hemoglobin treated with iron supplements
sepsis that was present on admission because sepsis was only documented in the discharge summary

Answer(s): A

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QUESTION: 5

QUESTION: 6

QUESTION: 7

QUESTION: 8

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