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AHIMA CDIP Exam Syllabus Topics:

AHIMA Certified Documentation Integrity Practitioner Sample Questions:

1. The clinical documentation integrity (CDI) manager is meeting with a steering committee to discuss the adoption of a new CDI program. The plan is to use case mix index (CMI) as a metric of CDI performance.
How will this metric be measured?

A) Month-to-month and focus on patient volumes to determine the raise the overall CMI
B) Over time with a focus on high relative weight (RW) procedures that impact these procedures on overall CMI
C) Over time with a focus on particular documentation improvement areas in addition to the overall CMI
D) Month-to-month to show CMI variability as a barometer of a specific month

2. A noncompliant query includes querying the provider regarding

A) acute blood loss anemia due to low hemoglobin treated with iron supplements
B) sepsis that was present on admission because sepsis was only documented in the discharge summary
C) morbid obesity due to BMI of 40.9 documented on the history and physical
D) gram-negative pneumonia on every pneumonia case, regardless of documented clinical indicators

3. The clinical documentation integrity practitioner (CDIP) is reviewing tracking data and has noted physician responses are not captured in the medical chart. What can be done to improve this process?

A) Provide education to physicians on query process
B) Update medical records with unsigned physician responses
C) Allow physician responses via e-mail
D) Require the CDIP to call physicians to follow up

4. What type of query may NOT be used in circumstances where only clinical indicators of a condition are present, and the condition/diagnosis has not been documented in the health record?

A) Yes/No
B) Open-ended
C) Multiple-choice
D) Verbal

5. When writing a compliant query, best practice is to

A) use the term "possible" to describe a condition or diagnosis when uncertain if the diagnosis is present
B) use a yes/no query format for specificity of a diagnosis
C) include all relevant clinical indicators
D) direct the physician to a specific diagnosis

Solutions: