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AHIMA CDIP Exam Syllabus Topics:

AHIMA Certified Documentation Integrity Practitioner Sample Questions:

1. Which of the following should be shared to ensure a clear sense of what clinical documentation integrity (CDI) is and the CDI practitioner's role within the organization?

A) Review schedule
B) Productivity standards
C) Mission
D) Milestones

2. The best approach in resolving unanswered queries is to

A) notify the physician advisor/champion that the physician has not responded to the query
B) notify the coding team of the physician's unanswered query
C) contact the physician repeatedly until he/she responds to the query
D) review the facility's query policies and procedures

3. 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?

A) The patient has chronic systolic heart failure.
B) The patient has acute on chronic systolic heart failure.
C) The patient has decompensated systolic heart failure.
D) The patient did have an exacerbation of heart failure.

4. Yes/No queries may be used

A) when only the clinical indicators of a condition are present
B) to resolve conflicting documentation from multiple practitioners
C) when the diagnosis is not clearly documented in the health record
D) in any query format

5. A clinical documentation integrity practitioner (CDIP) generates a concurrent query and continues to follow retrospectively; however, the coder releases the bill before the query is answered. The CDIP wonders if it is appropriate to re-bill the account if the physician answers the query after the bill has dropped. Which policy should the hospital follow to avoid a compliance risk?

A) A second bill should not be submitted when the first bill was incomplete.
B) A post-bill query rarely occurs as a result of an audit or other internal monitor.
C) A rebilling is permissible when queries are answered after the initial bill.
D) A post bill query is not appropriate when an error is found after an audit.

Solutions: