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AHIMA CDIP Exam Syllabus Topics:

AHIMA Certified Documentation Integrity Practitioner Sample Questions:

1. The ultimate purpose of clinical documentation integrity (CDI) expansion and growth is to

A) provide community education to healthcare consumers
B) promote CDI functions so that physicians view the CDI staff as value-added service
C) show a direct relationship between clinical documentation and quality patient care
D) create synergy between clinical education and CDI principles

2. An otherwise healthy male was admitted to undergo a total hip replacement as treatment for ongoing primary osteoarthritis of the right hip. During the post-operative period, the patient choked on liquids which resulted in aspiration pneumonia as shown on chest x-ray.
Intravenous antibiotics were administered, and the pneumonia was
monitored for improvement with two additional chest x-rays. The patient was discharged to home in stable condition on post-operative day 5.
Final Diagnoses:
1. Primary osteoarthritis of right hip status post uncomplicated total hip replacement
2. Aspiration pneumonia due to choking on liquid episode
What is the correct diagnostic related group assignment?

A) 469 Major Joint Replacement or Reattachment of Lower Extremity with MCC
B) 470 Major Joint Replacement or Reattachment of Lower Extremity without MCC
C) 553 Bone Diseases and Arthropathies with MCC
D) 179 Respiratory Infections and Inflammations without CC/MCC

3. Which of the following organizations should a clinical documentation integrity practitioner (CDIP) monitor?

A) Program for Evaluating Payment Patterns Electronic Report (PEPPER), Recovery Auditors (RAs), Center for Improvement in Healthcare (CIHQ)
B) Center for Improvement in Healthcare (CIHQ), Accreditation Commission for Healthcare (ACHC), Recovery Auditors (RAs)
C) Recovery Auditors (RAs), Program for Evaluating Payment Patterns Electronic Report (PEPPER), Office of Inspector General (OIG)
D) Office of Inspector General (OIG), Accreditation Commission for Healthcare (ACHC), Recovery Auditors (RAs)

4. The most beneficial step to identify post-discharge query opportunities that affect severity of illness, risk of mortality and case weight is to

A) identify normal diagnostic test results that may indicate a possible addition of a secondary diagnosis
B) look for documented conditions that have well supported accompanying clinical criteria
C) determine if only the treatment is documented and there is no diagnosis documented
D) watch for reportable conditions or conditions that are unambiguous or otherwise complete

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

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

Solutions: