Certified Documentation Improvement Practitioner (CDIP) — Question 13

A noncompliant query includes querying the provider regarding:

Answer options

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

Correct answer: A

Explanation

Option A is correct because it involves querying for gram-negative pneumonia in all cases without proper clinical justification, thus violating compliance. Options B, C, and D all present legitimate clinical scenarios that are appropriately documented, making them compliant queries.