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AHIMA CDIP Exam Overview:

AHIMA CDIP Exam Syllabus Topics:

AHIMA Certified Documentation Integrity Practitioner Sample Questions:

1. A hospital clinical documentation integrity (CDI) director suspects physicians are over-using electronic copy and paste in patient records, a practice that increases the risk of fraudulent insurance billings. A documentation integrity project may be needed. What is the first step the CDI director should take?

A) Alert senior leadership to the record documentation problem
B) Gather data on the incidence of inaccurate record documentation
C) Recommend the physicians to be involved in the project
D) Bring together a team of physicians and informatics specialists

2. An increase in claim denials has prompted a clinical documentation integrity (CDI) manager to engage the CDI physician advisor/champion in an effort to avoid future denials. How does this strategy impact the goal?

A) The CDI manager will exclusively provide education.
B) Physicians will learn documentation integrity practices from peers.
C) Clinicians will not require documentation integrity education.
D) Physicians can manage the documentation integrity process.

3. An 80-year-old male is admitted as an inpatient to the ICU with shortness of breath, productive yellow sputum, and a temperature of 101.2. CXR reveals bilateral pleural effusion and LLL pneumonia. Labs reveal a BUN of 42 and a creatinine level of 1.500.
The patient is given Zithromax 500 mg. IV, NS IV, and Lasix 40 mg tabs 2x/day. The attending physician documents bilateral pleural effusion, LLL pneumonia, and kidney failure. Two days later, the renal consult documents AKI with acute tubular necrosis (ATN). The correct principal and secondary diagnoses are

A) PDx: AKI with ATN
SDx: LLL pneumonia, bilateral pleural effusion
B) PDx: Bilateral pleural effusion
SDx: LLL pneumonia, kidney failure
C) PDx: LLL pneumonia
SDx: AKI with ATN, bilateral pleural effusion
D) PDx: LLL pneumonia
SDx: Bilateral pleural effusion, kidney failure

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

5. Tracking denials within the clinical documentation integrity program is important to

A) determine coding inaccuracies and educate as necessary
B) identify documentation improvement opportunities and educate as necessary
C) file a timely appeal if the medical center disagrees with the RAC findings
D) confirm reimbursement was appropriate

Solutions: