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AHIMA CDIP Exam Overview:

AHIMA CDIP Exam Syllabus Topics:

AHIMA Certified Documentation Integrity Practitioner Sample Questions:

1. A patient presents to the emergency room with complaint of cough with thick yellow/greenish sputum, and generalized pain. Admitting vital signs are noted below and sputum culture performed. The patient is admitted with septicemia due to pneumonia and has received 2L of normal saline and piperacillin/ tazobactam. After all results were reviewed, on day 2, the hospitalist continued to document septicemia due to pneumonia.
White blood count BC 18,000
Temperature 101.5
Heart rate 110
Respiratory rate 24
Blood pressure 95/67
Sputum culture (+) klebsiella pneumoniae
Which diagnosis implies that a query was sent and answered?

A) Sepsis with respiratory failure due to pneumonia
B) Septicemia due to klebsiella pneumoniae
C) Sepsis with pneumonia due to klebsiella pneumoniae
D) Severe sepsis with pneumonia due to klebsiella pneumoniae

2. Combination codes are used to classify two diagnoses, a diagnosis with a manifestation, or a diagnosis

A) with an associated procedure
B) with a sequelae or late effect
C) that is an integral part of a disease process
D) with an associated complication

3. A clinical documentation integrity practitioner (CDIP) generates a concurrent query and continues to follow retrospectively; however, the coder releases the bill before the query is answered. The CDIP wonders if it is appropriate to re-bill the account if the physician answers the query after the bill has dropped. Which policy should the hospital follow to avoid a compliance risk?

A) A post-bill query rarely occurs as a result of an audit or other internal monitor.
B) A second bill should not be submitted when the first bill was incomplete.
C) A post bill query is not appropriate when an error is found after an audit.
D) A rebilling is permissible when queries are answered after the initial bill.

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

5. A clinical documentation integrity practitioner (CDIP) hired by an internal medicine clinic is creating policies governing written queries. What is an AHIMA best practice for these policies?

A) Queries for illegible chart notes are unnecessary
B) Primary care physicians must answer written queries
C) Queries are limited to non-leading questions
D) Non-responses to written queries are grounds for discipline

Solutions: