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AHIMA Certified Documentation Integrity Practitioner Sample Questions:

1. Which of the following indicates a noncompliant multiple-choice query? One that does NOT

A) list options in alphabetical order
B) include at least four options
C) include the option of "unable to determine"
D) allow the provider to add their own response

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

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

4. Which of the following demonstrates the relative severity and complexity of patient treated in the hospital, and is used to evaluate the financial impact of a hospital's clinical documentation integrity (CDI) program?

A) Present on admission indicators
B) Adjusted case mix index
C) Hospital acquired conditions
D) Program for evaluating payment patterns electronic report

5. Which of the following should be shared to ensure a clear sense of what clinical documentation integrity (CDI) is and the CDI practitioner's role within the organization?

A) Productivity standards
B) Mission
C) Milestones
D) Review schedule

Solutions: