AHIMA CDIP

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AHIMA Certified Documentation Integrity Practitioner Sample Questions:

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

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

2. A key physician approaches the director of the coding department about the new emphasis associated with clinical documentation integrity (CDI). The physician does not support the program and believes the initiative will encourage inappropriate billing.
How should the director respond to the concerns?

A) Develop an administrative panel to oversee CDI process
B) Refer the physician to the finance department to discuss required billing changes
C) Involve the physician advisor/champion in addressing the medical staff's concerns
D) Inform the physician that changes must be made

3. A patient was admitted with complaints of confusion, weakness, and slurred speech. A CT of the head and MRI were performed and resulted in normal findings. Daily aspirin was administered and a speech therapy evaluation was conducted. The final diagnosis on discharge was transient ischemic attack, and cerebrovascular disease was ruled out. What is the correct diagnostic related group assignment?

A) 066 Intracranial Hemorrhage or Cerebral Infarction without CC/MCC
B) 069 Transient Ischemia
C) 948 Signs and Symptoms without MCC
D) 093 Other Disorders of Nervous System without CC/MCC

4. The most beneficial step to identify post-discharge query opportunities that affect severity of illness, risk of mortality and case weight is to

A) identify normal diagnostic test results that may indicate a possible addition of a secondary diagnosis
B) determine if only the treatment is documented and there is no diagnosis documented
C) watch for reportable conditions or conditions that are unambiguous or otherwise complete
D) look for documented conditions that have well supported accompanying clinical criteria

5. When there are comparative contrasting diagnoses supported by clinical criteria, the correct action is to

A) query for clarification
B) code the first condition listed
C) not code either diagnosis
D) code both diagnoses

Solutions: