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AHIMA Certified Documentation Integrity Practitioner Sample Questions:

1. Which factors are important to include when refocusing the primary vision of a clinical documentation integrity (CDI) program?

A) Diagnostic related groups and revenue cycle
B) Reporting and the use of technology
C) Value and mission statements
D) Benchmarks and case mix index

2. A clinical documentation integrity practitioner (CDIP) is reviewing an outpatient surgical chart. The patient underwent a laparoscopic appendectomy for acute gangrenous appendicitis. Which coding reference should be used for coding advice on correct assignment of the procedure code for proper ambulatory payment classification (APC) reimbursement?

A) AHA Coding Clinic for ICD-10-CM/PCS
B) O AMA CPT Assistant
C) O ICD-10-CM/PCS Codebook
D) The Merck Manual

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

4. Which physician would best benefit from additional education for unanswered queries?

A) Dr. B
B) Dr. D
C) Dr. A
D) Dr. C

5. What is the term used when a patient is entered in the Master Patient Index (MPI) multiple times, in different ways, resulting in multiple medical record numbers?

A) Replica
B) Clone
C) Overlap
D) Facsimile

Solutions: