Câu 34: CDIP: Certified Documentation Integrity Practitioner

A patient's progress note states “The patient has chronic systolic heart failure”. After reviewing clinical indicators suggestive of an exacerbation of systolic heart failure, the clinical documentation integrity practitioner (CDIP) queries the physician to clarify the current acuity of the diagnosis. Which subsequent documentation in the health record suggests the provider did not understand the query?

1. A. The patient has decompensated systolic heart failure
2. B. The patient did have an exacerbation of heart failure
3. C. The patient has chronic systolic heart failure — đáp án hiện tại
4. D. The patient has acute on chronic systolic heart failure.