AHIMA CDIP : Certified Documentation Integrity Practitioner

Automatic generation of the report

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Real exam environment

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Three versions for your convenience

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AHIMA CDIP Exam Syllabus Topics:

AHIMA Certified Documentation Integrity Practitioner Sample Questions:

1. Which of the following should be examined when developing documentation integrity projects?

A) Coding productivity statistics
B) Query rates from coding staff
C) Physician satisfaction surveys
D) CC and MCC capture rates

2. Several physicians at a local hospital are having difficulty providing adequate documentation on patients admitted with a diagnosis of pneumonia with or without clinical indications of gram-negative pneumonia. Subsequently, clinical documentation integrity practitioners (CDIPs) are altering health records. Which policy and procedure should be developed to ensure compliant practice?

A) Professional ethical standards
B) Quality improvement standards
C) Accreditation standards
D) Performance standards

3. A patient is admitted for chronic obstructive pulmonary disease (COPD) exacerbation. The patient is on 3L of home oxygen and is treated during admission with 3L of oxygen. The most appropriate action is to

A) query the provider to see if chronic respiratory failure is supported by the health record
B) query the provider to see if acute on chronic respiratory failure is supported by the health record
C) query the provider to see if respiratory insufficiency is supported by the health record
D) code the diagnoses of COPD exacerbation and chronic respiratory failure

4. When writing a compliant query, best practice is to

A) direct the physician to a specific diagnosis
B) use a yes/no query format for specificity of a diagnosis
C) include all relevant clinical indicators
D) use the term "possible" to describe a condition or diagnosis when uncertain if the diagnosis is present

5. A 90-year-old female patient was admitted to emergency room c/o nausea and vomiting x2 days. Vital signs:
BP 130/72, P 86, R 22, T 99.8F, O2 sat 94% on room air. Patient has a history of cerebral vascular accident (CVA) and difficulty swallowing. CXR revealed right lower lobe infiltrate. Labs: WBC 12.0 with 71% segs. Physician documents patient with a history of CVA and difficulty swallowing. CXR revealed right lower lobe infiltrate, diagnosis: pneumonia.
Aspiration precautions and IV Clindamycin
ordered. Patient was discharged 3 days later with a diagnosis of pneumonia. Clarification is needed to determine which of the following is clinically indicated.

A) Pneumonia, a sequela of CVA
B) Aspiration pneumonia
C) Complex pneumonia
D) Simple pneumonia

Solutions: