CDIP (AHMIA) Practice Exam 2 | 119 Questions And Answers
Health Care / Exam
CDIP (AHMIA) Practice Exam 2 | 119 Questions And Answers
A physician admits a patient with shortness of breath and chest pain, then treats the
patient with Lasix, oxygen, and Theophylline. The physician's final documented
diagnosis for the patient is acute exacerbation of COPD. What is missing from this
diagnosis that would make it reliable information in the treatment of this patient?
a.No additional information is needed.
b.The type of COPD
c.The reason the patient was treated with Lasix
d.The reason for the Theophylline - Correct answer-
If the physician does not document the diagnosis, the coding professional cannot
assume the patient has a diagnosis based solely on
a.An abnormal lab finding
b.Abnormal pathology reports
c.Both A and B
d.None of the above - Correct answer-c The coder cannot assume diagnoses on
abnormal findings such as lab reports. Abnormal findings (laboratory, X-ray, pathologic,
and other diagnostic results) are not coded and reported unless the physician indicates
their clinical significance. If the findings are outside the normal range and the physician
has ordered other tests to evaluate the condition or prescribed treatment, it is
appropriate to ask the physician whether the diagnosis should be added (AHA 1990,
15).
These documents would be used for are used by clinicians and providers to identify
abnormal temperature, blood pressure, pulse, respiration, oxygen levels, and other
indicators.
a.Nurses' graphic records
b.Vital sign flowsheets
c.Both A and B
d.None of the above - Correct answer-c Clinicians and providers utilize various
documents to identify abnormal temperature, blood pressure, pulse, respiration, oxygen
levels, and other indicators. These documents are often called nurses' graphic records
or vital sign flowsheets (Hess 2015, 43).
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