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AHIMA CDIP Exam Syllabus Topics:

AHIMA Certified Documentation Integrity Practitioner Sample Questions:

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

2. When are concurrent queries initiated?

A) After discharge of the patient
B) While the patient is hospitalized
C) After the health record has been coded
D) Before patient is admitted

3. The BEST place for the provider to document a query response is which of the following?

A) The query form
B) The next progress note and all subsequent notes including the discharge summary
C) The next progress note and the problem list
D) An addendum to the history and physical

4. Which factors are important to include when refocusing the primary vision of a clinical documentation integrity (CDI) program?

A) Diagnostic related groups and revenue cycle
B) Reporting and the use of technology
C) Value and mission statements
D) Benchmarks and case mix index

5. 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

Solutions: