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AHIMA CDIP Exam Syllabus Topics:

AHIMA Certified Documentation Integrity Practitioner Sample Questions:

1. A patient is admitted due to pneumonia. On day 1, a sputum culture is positive for psuedomonas bacteria. If the physician is queried and agrees that the patient has pseudomonas pneumonia, this specificity would

A) increase relative weight
B) not meet medical necessity
C) meet medical necessity
D) not increase relative weight

2. Which of the following diagnosis is MOST likely to trigger a second level review?

A) Heart failure
B) Pneumonia
C) Malnutrition
D) Acute kidney injury

3. The third quarter target concurrent physician query response rate for each physician in a hospital gastroenterology department was 80%. Nine physicians met or exceeded this metric; however, two physicians had third quarter concurrent physician query response rates of 19% and 64%. What is the best course of action for the clinical documentation integrity (CDI) physician advisor/champion?

A) Schedule individual meetings with each low-performing physician
B) Schedule individual meetings with each physician
C) Schedule a group meeting with all physicians
D) Schedule a meeting with the chair of the gastroenterology department

4. Hospital policy states that physician responses to queries should be no longer than timely payer filing requirements. A physician responds to a query after the final bill has been submitted. How should administration respond in this situation?

A) Review the record to determine any potential data integrity impact and/or rebilling implications
B) Report the physician's delayed response to the Ethics and Compliance Committee
C) Evaluate the payer's timeframe for billing and reasons for the physician's delayed response
D) Maintain the original billing as supported by documentation in the medical record

5. Which of the following clinical documentation integrity (CDI) dashboard metrics is frequently used to help evaluate the credibility of CDI practitioner queries and the success of the CDI program?

A) Provider response rate
B) CDI query rate
C) Provider agreement rate
D) CDI agreement rate

Solutions: