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AHIMA CDIP Exam Syllabus Topics:

AHIMA Certified Documentation Integrity Practitioner Sample Questions:

1. A hospital administrator wants to initiate a clinical documentation integrity (CDI) program and has developed a steering committee to identify performance metrics. The CDI manager expects to use a case mix index as one of the metrics. Which other metric will need to be measured?

A) Assessment of CC/MCC capture rates
B) Assessment of APR-DRGs with capture of CC or MCC
C) Comparison of risk of mortality with diagnostic related group capture rates
D) Comparison of severity of illness with the CC capture rates

2. Identify the error in the following query:
This patient's echocardiogram showed an ejection fraction of 25%. The chest x-ray showed congestive heart failure (CHF). The patient was prescribed Lasix and an angiotensin-converting enzyme inhibitor (ACEI). Is this patient's CHF systolic?

A) The query does not contain clinical indicators.
B) The query contains irrelevant information.
C) The query is leading.
D) The query is unclear.

3. Which of the following individuals is the first line of escalation for an unanswered query?

A) Medical Director
B) HIM/Coding Manager
C) CDI Steering Committee
D) CDI Manager

4. Patient is admitted with oliguria, pulmonary edema, and dehydration. Labs are remarkable for an elevated creatinine of 2.4, with a baseline of 1.1. Patient was hydrated for 48 hours with drop in creatinine. What would the appropriate action be?

A) Code acute renal failure since symptoms are there and documented
B) Query the physician to see if acute renal failure is clinically supported
C) Query the physician to see if acute renal failure with tubular necrosis is supported
D) No query is needed because the patient was dehydrated

5. Collaboration between the physician advisor/champion and the clinical documentation integrity practitioners (CDIPs) would likely include

A) querying physicians
B) developing query forms
C) educating physicians
D) performing data analysis

Solutions: