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AHIMA Certified Documentation Integrity Practitioner Sample Questions:

1. A key physician approaches the director of the coding department about the new emphasis associated with clinical documentation integrity (CDI). The physician does not support the program and believes the initiative will encourage inappropriate billing.
How should the director respond to the concerns?

A) Develop an administrative panel to oversee CDI process
B) Inform the physician that changes must be made
C) Involve the physician advisor/champion in addressing the medical staff's concerns
D) Refer the physician to the finance department to discuss required billing changes

2. A clinical documentation integrity practitioner (CDIP) is looking for clarity on whether a diagnosis has been
"ruled in" or "ruled out". Which type of query is the best option?

A) Multiple-choice
B) Open-ended
C) None
D) Yes/No

3. A clinical documentation integrity practitioner (CDIP) identified the need to correct a resident physician's note in a patient health record that wrongly identified the organism causing the patient's pneumonia. What is best practice for fixing this mistake according to AHIMA?

A) Amendments to record content must be co-signed by the attending physician
B) Errors are corrected by the clinician who authored the documentation
C) Any physician caring for the patient can correct inaccurate record notes
D) Coders can rely on the laboratory results to confirm the patient's diagnosis

4. The clinical documentation integrity (CDI) manager has noted a query response rate of 60%. The CDI practitioner reports that physicians often respond verbally to the query. What can be done to improve this rate?

A) Have CDI manager teaming with coding supervisor to monitor physician responses
B) Permit CDI practitioners to document physician responses in the charts
C) Require physicians to document responses in charts
D) Allow physician to respond via e-mail

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

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

Solutions: