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AHIMA CDIP Exam Syllabus Topics:

AHIMA Certified Documentation Integrity Practitioner Sample Questions:

1. An organization dealing with staffing shortages has adopted a policy requiring clinical documentation integrity practitioner (CDIP) to stop reviewing any record after a major complication or co-morbidity is found. What is the unintended consequence of this?

A) Decrease in severity of illness and risk of mortality
B) Increase in case mix index
C) Reduced risk of clinical denials
D) Increased number of records reviewed by each CDIP

2. When queries are part of the health record, which of the following physician privilege could be suspended if the provider receives too many deficiencies due to incomplete records for failure to respond to queries?

A) Surgical
B) Admitting
C) Credentialing
D) Consulting

3. Which entity has the following regulation?
A medical history and physical examination be completed and documented for each patient no more than 30 days before or 24 hours after admission or registration, but prior to surgery or a procedure requiring anesthesia services.

A) Office of Inspector General
B) Office of the National Coordinator for Health Information Technology
C) Centers for Medicare & Medicaid Services
D) Office for Civil Rights

4. A patient's progress note states "The patient has chronic systolic heart failure". After reviewing clinical indicators suggestive of an exacerbation of systolic heart failure, the clinical documentation integrity practitioner (CDIP) queries the physician to clarify the current acuity of the diagnosis. Which subsequent documentation in the health record suggests the provider did not understand the query?

A) The patient did have an exacerbation of heart failure.
B) The patient has decompensated systolic heart failure.
C) The patient has chronic systolic heart failure.
D) The patient has acute on chronic systolic heart failure.

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

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

Solutions: