AHIMA Certified Documentation Integrity Practitioner : CDIP

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AHIMA CDIP Exam Syllabus Topics:

AHIMA Certified Documentation Integrity Practitioner Sample Questions:

1. A patient's progress note states "The patient has chronic systolic heart failure". After reviewing clinical indicators suggestive of an exacerbation of systolic heart failure, the clinical documentation integrity practitioner (CDIP) queries the physician to clarify the current acuity of the diagnosis. Which subsequent documentation in the health record suggests the provider did not understand the query?

A) The patient has chronic systolic heart failure.
B) The patient did have an exacerbation of heart failure.
C) The patient has acute on chronic systolic heart failure.
D) The patient has decompensated systolic heart failure.

2. After one year, the clinical documentation integrity (CDI) program has become stagnant, and the manager plans to reinvigorate the program to better reflect the CDI efforts in the organization. What can the manager do to ensure program success?

A) Expand the CDI program to larger areas in outpatient clinics
B) Identify key metrics to develop program measures for coders
C) Prioritize to focus on efforts with the largest return on investment
D) Establish a CDI steering committee to build a strong foundation

3. Which of these medical conditions would a clinical documentation integrity practitioner (CDIP) expect to be treated with Levophed?

A) Acute kidney failure
B) Multiple sclerosis
C) Acute respiratory failure
D) Septic shock

4. A clinical documentation integrity practitioner (CDIP) is looking for clarity on whether a diagnosis has been
"ruled in" or "ruled out". Which type of query is the best option?

A) Multiple-choice
B) Open-ended
C) Yes/No
D) None

5. Which entity has the following regulation?
A medical history and physical examination be completed and documented for each patient no more than 30 days before or 24 hours after admission or registration, but prior to surgery or a procedure requiring anesthesia services.

A) Office for Civil Rights
B) Office of Inspector General
C) Centers for Medicare & Medicaid Services
D) Office of the National Coordinator for Health Information Technology

Solutions: