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AHIMA CDIP Exam Syllabus Topics:

AHIMA Certified Documentation Integrity Practitioner Sample Questions:

1. Which of the following is a clinical documentation element supporting a transbronchial biopsy?

A) Length of procedure
B) Pathology report documenting bronchial tissue
C) Hemoptysis
D) Pathology report documenting alveolar tissue

2. Identify the error in the following query:
This patient's echocardiogram showed an ejection fraction of 25%. The chest x-ray showed congestive heart failure (CHF). The patient was prescribed Lasix and an angiotensin-converting enzyme inhibitor (ACEI). Is this patient's CHF systolic?

A) The query contains irrelevant information.
B) The query is leading.
C) The query does not contain clinical indicators.
D) The query is unclear.

3. Given the following ICD-10-CM Alphabetical Index entry:
Ectopic (pregnancy) 008.9
What is the meaning of the parenthesis?

A) Exclusion notes
B) Non-essential modifiers
C) Inclusion notes
D) Essential modifiers

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

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

Solutions: