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AHIMA CDIP Exam Syllabus Topics:

AHIMA Certified Documentation Integrity Practitioner Sample Questions:

1. A patient presented with shortness of breath, elevated B-type natriuretic peptide, and lower extremity edema to the emergency room. During the hospitalization, a cardiac echocardiogram was performed and revealed an ejection fraction of 55% with diastolic dysfunction. The patient's history includes hypertension (HTN), chronic kidney disease (CKD) (baseline glomerular filtration rate 40) and congestive heart failure (CHF). The clinical documentation integrity practitioner (CDIP) has queried the physician to further clarify the patient's diagnosis. Which response provides the highest level of specificity?

A) Acute CHF with hypertensive renal disease, CKD 3
B) Acute diastolic CHF with HTN and CKD 3
C) Acute on chronic diastolic CHF with hypertensive renal disease, CKD 3
D) Acute on chronic systolic CHF with hypertensive renal disease, CKD 3

2. A query should include

A) the impact of reimbursement
B) relevant clinical indicators
C) information from previous encounters
D) the impact on quality

3. A hospital is conducting a documentation integrity project for the purpose of reducing indiscriminate use of electronic copy and paste of patient information in records by physicians. Which data should be used to quantify the extent of the problem?

A) Incidence of redundancies in physician notes in a sample of hospital admissions
B) Number of coder queries regarding inconsistent physician record documentation
C) Percent of insurance billings denied due to lack of record documentation
D) Results of a survey of physicians that asks about documentation practices

4. Which of the following is nonessential to facilitate code capture when educating clinical staff on documentation practices associated with diabetes mellitus?

A) Age
B) Manifestation
C) Type
D) Cause

5. Which of the following committees should determine the chain of comnfand that will be used to manage physicians who are either unresponsive or uncooperative with the clinical documentation integrity (CDI) program?

A) Operations
B) Compliance
C) Oversight
D) Communications

Solutions: