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AHIMA Certified Documentation Integrity Practitioner Sample Questions:

1. Which of the following demonstrates the relative severity and complexity of patient treated in the hospital, and is used to evaluate the financial impact of a hospital's clinical documentation integrity (CDI) program?

A) Hospital acquired conditions
B) Adjusted case mix index
C) Present on admission indicators
D) Program for evaluating payment patterns electronic report

2. A clinical documentation integrity practitioner (CDIP) generates a concurrent query and continues to follow retrospectively; however, the coder releases the bill before the query is answered. The CDIP wonders if it is appropriate to re-bill the account if the physician answers the query after the bill has dropped. Which policy should the hospital follow to avoid a compliance risk?

A) A post-bill query rarely occurs as a result of an audit or other internal monitor.
B) A post bill query is not appropriate when an error is found after an audit.
C) A second bill should not be submitted when the first bill was incomplete.
D) A rebilling is permissible when queries are answered after the initial bill.

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

4. Which of the following diagnosis is MOST likely to trigger a second level review?

A) Malnutrition
B) Pneumonia
C) Heart failure
D) Acute kidney injury

5. Identify the error in the following query:
This patient's echocardiogram showed an ejection fraction of 25%. The chest x-ray showed congestive heart failure (CHF). The patient was prescribed Lasix and an angiotensin-converting enzyme inhibitor (ACEI). Is this patient's CHF systolic?

A) The query is unclear.
B) The query contains irrelevant information.
C) The query is leading.
D) The query does not contain clinical indicators.

Solutions: