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AHIMA CDIP Exam Syllabus Topics:

AHIMA Certified Documentation Integrity Practitioner Sample Questions:

1. Tracking denials within the clinical documentation integrity program is important to

A) file a timely appeal if the medical center disagrees with the RAC findings
B) confirm reimbursement was appropriate
C) identify documentation improvement opportunities and educate as necessary
D) determine coding inaccuracies and educate as necessary

2. In order to best demonstrate the impact of clinical documentation on severity of illness and risk of mortality, which of the following examples is the most effective for physicians in a hospital?

A) The latest Medicare Provider and Analysis Review data
B) Emphasize the Medicare requirements for documentation
C) Examples from the hospital's actual cases
D) Explanations on how severity of illness and risk of mortality impact reimbursement

3. Which of the following can be evidence of physician-hospital alignment?

A) A high clinical documentation integrity practitioner (CDIP) query rate
B) A high physician agreement rate
C) A low physician agreement rate
D) A high physician response rate

4. Which of the following may make physicians lose respect for clinical documentation integrity (CDI) efforts and disengage?

A) The physician advisor/champion's interventions with noncompliant physicians
B) Providing many lectures, newsletters, tip sheets, and pocket cards for physician education
C) CDI practitioners sending multiple queries to hospitalist physicians
D) Inconsistent clinically relevant queries

5. A 100-year-old female presents to the emergency department with altered mental state and a 3-day history of productive cough, shortness of breath, and fever after a witnessed aspiration 3 days ago. The patient lives in custodial care at a nearby skilled nursing facility. Patient was treated with Augmentin at the facility without improvement. Exam is notable for Tc 38.9, blood pressure 142/78, respiratory rate 28, pulse 91. There is accessory muscle use with breathing.
Patient is moaning and disoriented but
otherwise the neurologic exam is nonfocal.
Labs notable for sodium 126, creatinine 0.5. white blood count 17.5, hemoglobin 13, platelet 200. venous blood gas 7.44/32/45/-3 Chest x-ray shows bilateral lower lobe infiltrates and dense right lower lobe consolidation.
Patient is placed on bilevel positive airway pressure and given vancomycin, pip/tazo, levofloxacin.
Discharge Diagnosis: health care associated pneumonia (HCAP), respiratory distress, altered mental status, low sodium Which list of diagnoses require a post-discharge query that will result in a more specific principal diagnosis with the highest level of severity of illness and risk of mortality?

A) Coma, stroke, HCAP, hypernatremia
B) Severe sepsis, hypernatremia, delirium, pneumonia
C) Sepsis with acute hypoxemic respiratory failure, hyponatremia, pneumonia
D) Aspiration pneumonia, hyponatremia, septic encephalopathy, and sepsis with acute hypoxemic respiratory failure

Solutions: