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AHIMA CDIP Exam Syllabus Topics:

AHIMA Certified Documentation Integrity Practitioner Sample Questions:

1. Which of the following individuals should the clinical documentation integrity (CDI) manager consult when developing query policy and procedures?

A) Compliance Officer
B) CDI practitioner
C) Chief Financial Officer
D) Chief Medical Officer

2. A 75-year-old, diabetic patient with a history of osteoporosis, being treated with Fosamax, who sustained a femur fracture after falling down three stairs. The provider's documentation indicates to admit the patient for a traumatic femur fracture and an orthopedics consult is pending. The clinical documentation integrity practitioner (CDIP) decides to query for a possible link between osteoporosis and the femur fracture. Which of the following is the most compliant query based on the most recent AHIMA/ACDIS query practice brief?

A) Patient admitted for a femur fracture with a history of osteoporosis being treated with Fosamax. Could diabetes be a contributing factor in the femur fracture?
B) Patient admitted for a femur fracture with a history of osteoporosis being treated with Fosamax. Please document "femur fracture due to osteoporosis" in your next progress note to demonstrate a link between the two diagnoses.
C) Patient admitted for a femur fracture with a history of osteoporosis being treated with Fosamax. In your medical opinion, is this fracture consistent with an osteoporotic pathological fracture?
D) Patient admitted for a femur fracture with a history of osteoporosis being treated with Fosamax. Please clarify the cause of the femur fracture in your next note and/or the discharge summary.

3. The key component of the auditing and monitoring process to ensure provider query response is to

A) make sure that the language in the query is not leading or otherwise inappropriate
B) have a process in place for ongoing education and training of the staff involved in conducting provider queries
C) audit individual providers to indicate improvement in health record documentation
D) review queries retrospectively to ensure that they are completed according to documented Policies and procedures

4. A hospital administrator has hired a clinical documentation integrity (CDI) firm to improve its revenue objectives. The physicians object to this action. How should the firm collaborate with physicians to overcome their objections?

A) Hire a consultant to communicate the benefits to the physicians
B) Identify an influential physician advisor/champion to promote support
C) Communicate the benefits of the CDI firm about the project
D) Create a vision statement that outlines the project objectives

5. The clinical documentation integrity (CDI) manager reviewed all payer refined-diagnosis related groups (APR-DRG) benchmarking data and has identified potential opportunities for improvement. The manager hopes to develop a work plan to target severity of illness (SOI)/risk of mortality (ROM) by service line and providers. How can the manager gain more information about this situation?

A) Audit cases that have high SOI/ROM assigned by coders for education and follow-up
B) Audit focused cases by physicians that have a higher SOI/ROM for education plan
C) Audit cases for missed diagnosis by the CDI practitioner to target in the education plan
D) Audit focused APR-DRGs and develop education plan for CDI team and physicians

Solutions: