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2026
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Terms in this set (39)
A) Coexist at the time of admission, According to the UHDDS, Section III, the definition
that develop subsequently, or that of other diagnoses is all conditions that
affect the treatment received or the
length of stay A) Coexist at the time of admission, that develop
subsequently, or that affect the treatment received
Feedback or the length of stay
The UHDDS item 11-b defines other
diagnoses as "all conditions that B) Receive evaluation and are documented by the
coexist at the time of admission, that physician
develop subsequently or that affect
the treatment received or the length C) Receive clinical evaluation, therapeutic
of stay" (CMS 2021a, Section III, 104– treatment, further evaluation, extend the length of
105). stay, increase nursing monitoring/care
D) Are considered to be essential by the physicians
involved and are reflected in the record
,B) Bring in an external physician to Dr. Hayes is new to CDI and would like more
teach the physician and assist with training in CDI. The organization may
responsibilities
A) Bring in an external physician to function as
Feedback CMO
If the new physician advisor does not
have CDI expertise, an external B) Bring in an external physician to teach the
physician can be brought in to physician and assist with responsibilities
educate the new physician advisor
(Hess 2015, 123). C) Partner the physician with compliance
D) Partner the physician with an ED physician
B) Retrospective When starting a new CDI program, a _______________
audit of previously billed records should be
Feedback performed to determine the volumes and types of
Retrospective audit is performed of potential query opportunities that exist.
records previously billed to
determine deficiencies in A) Chart
documentation and coding for
opportunities (AHIMA, Clinical B) Retrospective
Documentation Improvement Toolkit,
14). C) Billing
D) Concurrent
, C) Sex and discharge disposition Which patient-specific UHDDS items also have the
potential to have an impact on MS-DRG
Feedback assignment?
The UHDDS data elements of sex
and discharge disposition are also A) Race and residence
factors in determining some MS-
DRGs (Schraffenberger and Palkie B) Residence and sex
2022, 92).
C) Sex and discharge disposition
D) Discharge disposition and race
A) Non-credentialed coding In addition to credentialed coding professionals,
professionals and students AHIMA's "Standards of Ethical Coding" apply to
which of the following groups?
Feedback
Non-credentialed coding A) Non-credentialed coding professionals and
professionals and students are students
considered as under the umbrella of
the term coding professional and, B) Students and attorneys
therefore, subject to AHIMA's
Standards of Ethical Coding. C) Attorneys and auditors
("American Health Information
Management Association Standards D) Case managers and non-credentialed coding
of Ethical Coding [2016 version]," professionals
https://bok.ahima.org/CodingStanda
rds#.Y0_tKXbMK3A).