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| Section | Weight | Objectives |
|---|---|---|
| Healthcare Regulations, Reimbursement & Documentation Requirements – IPPS | 15% | - Inpatient Prospective Payment System (IPPS) fundamentals - Medicare Severity Diagnostic Related Groups (MS-DRGs) - Documentation responsibilities of medical and clinical staff |
| Clinical Knowledge & Disease Processes Application | 20% | - Medical terminology, anatomy, physiology, pathophysiology - Clinical indicators, lab results, medications, diagnostic findings - Disease processes across body systems applied to chart review |
| Quality, Risk Adjustment & Health Initiatives | 15% | - Quality reporting, public reporting, and compliance programs - Severity of Illness (SOI) / Risk of Mortality (ROM) - Risk adjustment models and documentation impact |
| Clinical Documentation Review & Query Practices | 20% | - Documentation gap identification and resolution - Concurrent and retrospective chart review methodologies - Query development, communication, and ethical standards |
| CDI Program Management & Professional Practice | 15% | - Program metrics, benchmarks, and performance measurement - Ethics, HIPAA, and professional conduct - Provider education and training strategies |
| Coding Guidelines & Official Reporting Standards | 15% | - AHIMA/ACDIS Guidelines for Compliant Query Practice - ICD-10-CM/PCS Official Guidelines for Coding and Reporting - Coding integrity and compliant documentation practices |
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68. Frage
The attending physician documents morbid obesity. A registered dietitian documents a body mass index of
43.6 kg/m² in the nutritional assessment. Which of the following is the MOST accurate statement?
Antwort: B
Begründung:
BMI is one of the explicit ICD-10-CM exceptions permitting code assignment from documentation by a clinician other than the provider responsible for establishing the diagnosis. Therefore, the BMI of 43.6 may be taken from the dietitian's documentation, while the associated diagnosis of morbid obesity is supported by the attending physician's documentation.
The FY 2026 Official Guidelines specifically identify BMI, pressure-ulcer stage, non-pressure ulcer depth, coma scale, NIH Stroke Scale, certain social determinants, laterality, blood alcohol level, and several other elements as information that may be documented by other qualified clinicians. However, the associated diagnosis, such as obesity, must be documented by the patient's provider.
Option C incorrectly gives the dietitian's BMI documentation authority to establish the obesity diagnosis itself. Option D imposes an unnecessary discharge-summary requirement; valid diagnoses may be supported by appropriate provider documentation elsewhere in the health record according to applicable coding rules.
For CDI specialists, the key distinction is between a diagnosis and a permissible clinical detail used to further characterize that diagnosis.
CCDS Reference Topics: BMI; non-provider documentation; obesity; medical-record review; coding documentation exceptions.
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69. Frage
A patient is admitted with hypertension and stage 3b chronic kidney disease. The physician does not explicitly state that the CKD is caused by hypertension. The record contains no documentation indicating that the two conditions are unrelated. Which of the following is the MOST appropriate approach when assigning the working diagnoses?
Antwort: C
Begründung:
ICD-10-CM presumes a causal relationship between hypertension and chronic kidney disease when both are documented, unless the provider specifically states that the conditions are unrelated. Therefore, the working coding logic should recognize hypertensive CKD and additionally identify the patient's CKD stage.
The FY 2026 Official Guidelines direct assignment of a code from category I12, Hypertensive chronic kidney disease, when hypertension and a condition classified to N18.- are both present. An additional N18.- code is required to identify the CKD stage. In this case, the documented stage is 3b.
A provider query solely to establish the hypertension-CKD relationship is unnecessary because ICD-10-CM itself supplies the presumed relationship. However, a query could become necessary if the physician explicitly states or strongly suggests that the CKD is unrelated to hypertension or if conflicting documentation exists.
The CDI specialist must distinguish coding conventions that automatically establish certain relationships from situations in which provider linkage is mandatory. This prevents unnecessary queries and supports accurate working-DRG assignment.
CCDS Reference Topics: Hypertensive CKD; presumed causal relationships; CKD staging; coding conventions; working MS-DRG.
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70. Frage
After a month of intermittent antibiotic use, the patient is admitted. An infectious-control physician documents a diagnosis of Clostridium difficile in the inpatient medical record. Which domain of the MOST current Hospital Value-Based Purchasing program would this diagnosis impact?
Antwort: C
Begründung:
The relevant Hospital Value-Based Purchasing domain is the Safety domain, corresponding most closely to option D. CMS's FY 2026 Hospital VBP program maintains a Safety domain that includes healthcare- associated infection performance measures, including C. difficile infection. CMS's current VBP Safety dataset specifically identifies C. difficile among its healthcare-associated infection measures.
It is important to distinguish the domain from an individual measure. "Hospital-acquired infection" describes the type of quality measure, but the formal broader scoring domain is Safety. PSI 90 is also associated with patient safety measurement, but it is not the name of the overall VBP domain.
From a CDI standpoint, documentation accuracy matters because coded and quality-reporting data can influence organizational performance assessment. However, documentation of C. difficile alone does not automatically establish that an infection qualifies as a hospital-onset event for every quality program. Timing and the applicable measure specifications determine whether an individual episode enters a particular healthcare-associated infection metric.
Therefore, CDI professionals should accurately capture the infection and its clinical circumstances without attempting to classify an event as hospital acquired solely to influence quality scores.
CCDS Reference Topics: Hospital VBP; Safety domain; healthcare-associated infections; C. difficile; quality reporting.
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71. Frage
A patient is admitted for UTI with AMS. The physician documents "UTI due to Escherichia coli." CT scan of the head is negative, with AMS improving and family reporting the patient is now at baseline. Admission creatinine is 1.2 mg/dL and sodium is 146 mEq/L. Plan is discharge home today.
The CDI specialist should query for the:
Antwort: C
Begründung:
The clinically meaningful documentation gap concerns what condition actually occasioned the inpatient admission and whether the altered mental status represents a defined diagnosis associated with the episode.
The record identifies a UTI due to E. coli, but the patient also presented with AMS significant enough to undergo head CT evaluation. The AMS subsequently resolved to baseline.
A creatinine of 1.2 mg/dL alone does not establish acute kidney injury because AKI requires evidence of an acute change from baseline and appropriate clinical context. Similarly, sodium of 146 mEq/L is only minimally elevated and, without clinical evaluation or treatment demonstrating significance, does not justify a query designed to generate hypernatremia.
Merely clarifying AMS as acute versus chronic is also less useful than determining the actual diagnosis explaining the altered mental state and its relationship to the admission. Depending on provider judgment and supporting evidence, possibilities could include an acute encephalopathic process, delirium, symptoms associated with infection, or another condition.
The query should remain neutral and should not presume that the UTI caused the AMS.
CCDS Reference Topics: Principal diagnosis clarification; AMS; clinical indicators; query prioritization; documentation integrity.
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72. Frage
A hospital's query policy states that all answered queries will be retained, but all unanswered queries that might delay billing will be permanently destroyed. What is the PRIMARY compliance concern?
Antwort: D
Begründung:
The principal concern is the selective destruction of unanswered queries. A compliant query-retention policy should be consistent, defensible, and auditable rather than dependent on whether the physician provided a response or whether the query affected billing.
Organizations may structure query retention differently depending on legal requirements, health-record policy, technology, and organizational governance. Queries may be part of the permanent health record or retained as another retrievable business record, depending on policy. The key point is that disposition should not be manipulated to hide unanswered or inconvenient clarification activity.
Destroying unresolved queries can impair auditability, create an appearance that the organization is selectively preserving only favorable documentation activity, and undermine the integrity of the CDI process.
The 2026 ACDIS/AHIMA guidelines are the current foundational standard for query-practice design and supersede prior versions.
A query need not automatically remain in the permanent medical record forever; retention requirements depend on applicable organizational and legal policies. What is unacceptable is an inconsistent approach designed to remove evidence based on outcome.
CCDS Reference Topics: Query retention; compliance; auditability; organizational policy; documentation integrity.
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73. Frage
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