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AHIMA CDIP Exam Syllabus Topics:

AHIMA Certified Documentation Integrity Practitioner Sample Questions:

1. A 50-year-old with a history of stage II lung cancer is brought to the emergency department with severe dyspnea. The patient underwent the last round of chemotherapy
3 days ago. Vital signs reveal a temperature of 98.4, a heart rate of 98, a respiratory rate of 28, and a blood pressure of 124/82. O2 saturation on room air is 92%. The patient is 5'5"and weighs 98 lbs. The registered dietitian notes the patient is malnourished with BMI of 19.
Chest x-ray reveals a large pleural effusion in the right lung.
Thoracentesis is performed and 1000 cc serosanguinous fluid is removed. The admitting diagnosis is large right lung pleural effusion related to lung cancer stage II, documented multiple times. What post discharge query opportunity should be sent to the physician that will affect severity of illness (SOI)/risk of mortality (ROM)?

A) Query for malignant pleural effusion
B) Query if the malignant pleural effusion is the reason for admission
C) Query for a diagnosis associated with the dietician's finding of malnutrition
D) Query for protein calorie malnutrition

2. The clinical documentation integrity (CDI) manager is reviewing physician benchmarks and notices a low-severity level being measured against average length of stay.
What should the CDI manager keep in mind when discussing this observation with physicians?

A) The query response rate directly correlates to quality reports.
B) The diagnosis with a higher degree of specificity has a lower severity of illness.
C) The query rate is too high while the agreement rate is low.
D) The indicator is a key factor of measurement for quality reports.

3. A clinical documentation integrity practitioner (CDIP) in an acute care hospital was asked to create new query templates for ICD-10 based on AHIMA and ACDIS guidelines. What should the multiple-choice query format include?

A) Clinically unsupported diagnosis
B) Clinically significant options
C) Clinically insignificant options
D) Impact on reimbursement

4. Which physician would best benefit from additional education for unanswered queries?

A) Dr. C
B) Dr. D
C) Dr. B
D) Dr. A

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

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

Solutions: