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AHIMA CDIP Exam Syllabus Topics:

AHIMA Certified Documentation Integrity Practitioner Sample Questions:

1. When are concurrent queries initiated?

A) After discharge of the patient
B) After the health record has been coded
C) While the patient is hospitalized
D) Before patient is admitted

2. An increase in claim denials has prompted a clinical documentation integrity (CDI) manager to engage the CDI physician advisor/champion in an effort to avoid future denials. How does this strategy impact the goal?

A) Physicians will learn documentation integrity practices from peers.
B) Clinicians will not require documentation integrity education.
C) The CDI manager will exclusively provide education.
D) Physicians can manage the documentation integrity process.

3. A patient receives a blood transfusion after a 400 ml blood loss during surgery. The clinical documentation integrity practitioner (CDIP) queries the physician for an associated diagnosis. The facility does not maintain queries as part of the permanent health record. What does the physician need to document for the CDIP to record the query as answered and agreed?

A) The associated diagnosis and the clinical rationale in the progress notes
B) The associated diagnosis directly on the query form
C) A cause-and-effect relationship between anemia and the underlying cause
D) That the blood loss was not clinically significant

4. Creating policies and procedures for the query process will help eliminate

A) risk
B) confusion
C) indecision
D) duplication

5. 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) 093 Other Disorders of Nervous System without CC/MCC
B) 066 Intracranial Hemorrhage or Cerebral Infarction without CC/MCC
C) 069 Transient Ischemia
D) 948 Signs and Symptoms without MCC

Solutions: