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AHIMA CDIP Exam Syllabus Topics:

AHIMA Certified Documentation Integrity Practitioner Sample Questions:

1. Which of the following can be evidence of physician-hospital alignment?

A) A low physician agreement rate
B) A high physician response rate
C) A high physician agreement rate
D) A high clinical documentation integrity practitioner (CDIP) query rate

2. The clinical documentation integrity (CDI) manager has noted a query response rate of 60%. The CDI practitioner reports that physicians often respond verbally to the query. What can be done to improve this rate?

A) Allow physician to respond via e-mail
B) Have CDI manager teaming with coding supervisor to monitor physician responses
C) Require physicians to document responses in charts
D) Permit CDI practitioners to document physician responses in the charts

3. A patient falls off a ladder and undergoes a right femur procedure. Three weeks later, the patient returns to the hospital for removal of the external fixation device. The ICD-10-CM 7th character code value should indicate

A) initial
B) sequela
C) subsequent
D) aftercare

4. A patient was admitted due to possible pneumonia. Chest x-ray was positive for infiltrate. The physician's documentation indicates that the patient continues to smoke cigarettes despite recommendations to quit. Patient also has a long-term history of chronic obstructive pulmonary disease (COPD) due to smoking. IV antibiotic was given for pneumonia along with oral Prednisone and Albuterol for COPD.
Discharge diagnoses:
1. Pneumonia
2. COPD
3. Current smoker
What is the correct diagnostic related group assignment?

A) DRG 202 Bronchitis and Asthma with CC/MCC
B) DRG 194 Simple Pneumonia and Pleurisy without CC/MCC
C) DRG 190 Chronic Obstructive Pulmonary Disease with MCC
D) DRG 204 Respiratory Signs and Symptoms

5. The clinical documentation integrity practitioner (CDIP) is reviewing tracking data and has noted physician responses are not captured in the medical chart. What can be done to improve this process?

A) Allow physician responses via e-mail
B) Require the CDIP to call physicians to follow up
C) Update medical records with unsigned physician responses
D) Provide education to physicians on query process

Solutions: