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AHIMA CDIP Exam Syllabus Topics:

AHIMA Certified Documentation Integrity Practitioner Sample Questions:

1. Reviewing and analyzing physician query content on a regular basis

A) facilitates physician data collection
B) assists in identifying gaps in skills and knowledge
C) aids in discussion between physician and reviewer
D) helps to calculate query response rate

2. The third quarter target concurrent physician query response rate for each physician in a hospital gastroenterology department was 80%. Nine physicians met or exceeded this metric; however, two physicians had third quarter concurrent physician query response rates of 19% and 64%. What is the best course of action for the clinical documentation integrity (CDI) physician advisor/champion?

A) Schedule a meeting with the chair of the gastroenterology department
B) Schedule individual meetings with each physician
C) Schedule a group meeting with all physicians
D) Schedule individual meetings with each low-performing physician

3. A 45-year-old female is admitted after sustaining a femur fracture. Orthopedics is consulted and performs an open reduction internal fixation (ORIF) of the femur without complication. Nursing documents the patient has a body mass index of 42 kg/m2. The clinical documentation integrity practitioner (CDIP) determines a query is needed to capture a diagnosis associated with the body mass index so it can be reported. Which of the following is the MOST compliant query based on the most recent AHIIMA/ACDIS query practice brief?

A) Nursing documents the BMI is 42 kg/m2. Can you please clarify if the patient's morbid obesity was present on admission and add the diagnosis to future progress notes?
B) Nursing documents the BMI is 42 kg/m2. Please consider if any of the following diagnoses should be added to the health record to support this finding: morbid obesity; obesity; other diagnosis (please state)
C) Nursing documents the BMI is 42 kg/m2. In order to capture a co-morbid condition (CC) to increase reimbursement, please add 'morbid obesity with BMI 42 kg/m2' to your next progress note.
D) Nursing documents the BMI is 42 kg/m2. To increase the severity of illness and risk of mortality, please add 'morbid obesity with BMI 42 kg/m2' to your next progress note.

4. Which entity has the following regulation?
A medical history and physical examination be completed and documented for each patient no more than 30 days before or 24 hours after admission or registration, but prior to surgery or a procedure requiring anesthesia services.

A) Centers for Medicare & Medicaid Services
B) Office of the National Coordinator for Health Information Technology
C) Office of Inspector General
D) Office for Civil Rights

5. The physician advisor/champion needs to provide ongoing education regarding coding and reimbursement regulations to the

A) organization's medical and surgical staff
B) clinical documentation integrity staff
C) Health Information Management coding staff
D) organization senior administration staff

Solutions: