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AHIMA CDIP Exam Syllabus Topics:

AHIMA Certified Documentation Integrity Practitioner Sample Questions:

Question 1

A hospital administrator wants to initiate a clinical documentation integrity (CDI) program and has developed a steering committee to identify performance metrics. The CDI manager expects to use a case mix index as one of the metrics. Which other metric will need to be measured?

A. Assessment of CC/MCC capture rates
B. Comparison of severity of illness with the CC capture rates
C. Assessment of APR-DRGs with capture of CC or MCC
D. Comparison of risk of mortality with diagnostic related group capture rates

Question 2

Which of the following indicates a noncompliant multiple-choice query? One that does NOT

A. include at least four options
B. allow the provider to add their own response
C. list options in alphabetical order
D. include the option of "unable to determine"

Question 3

A patient is admitted for pneumonia with a WBC of 20,000, respiratory rate 20, heart rate 85, and oral temperature 99.0°. On day 2, sputum cultures reveal positive results for pseudomonas bacteria. The most appropriate action is to

A. code pseudomonas pneumonia
B. query the provider to see if pseudomonas sepsis is supported by the health record
C. code pneumonia, unspecified
D. query the provider to document the etiology of pneumonia

Question 4

The clinical documentation integrity (CDI) team in a hospital is initiating a project to change the unacceptable documentation behaviors of some physicians. What strategy should be part of a project aimed at improving these behaviors?

A. Encourage physician-nurse cooperation
B. Alter the physician documentation requirements
C. Add a physician advisor/champion to the CDI team
D. Expand use of coding queries by CDI team

Question 5

What type of query may NOT be used in circumstances where only clinical indicators of a condition are present, and the condition/diagnosis has not been documented in the health record?

A. Yes/No
B. Multiple-choice
C. Open-ended
D. Verbal

Solutions: