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AHIMA Certified Documentation Integrity Practitioner Sample Questions:

1. Which of the following sources provide external benchmarks to examine the effectiveness of a facility's clinical documentation program?

A) Health Care Financing Administration
B) American Health Information Management Association
C) Agency for Healthcare Research and Quality
D) Medicare Provider Analysis and Review

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

3. Which factors are important to include when refocusing the primary vision of a clinical documentation integrity (CDI) program?

A) Value and mission statements
B) Reporting and the use of technology
C) Diagnostic related groups and revenue cycle
D) Benchmarks and case mix index

4. After one year, the clinical documentation integrity (CDI) program has become stagnant, and the manager plans to reinvigorate the program to better reflect the CDI efforts in the organization. What can the manager do to ensure program success?

A) Establish a CDI steering committee to build a strong foundation
B) Expand the CDI program to larger areas in outpatient clinics
C) Prioritize to focus on efforts with the largest return on investment
D) Identify key metrics to develop program measures for coders

5. Which of the following is an appropriate first step to address physicians with low query response rates?

A) The physician receives a suspension until query responses are improved
B) The medical staff review the physician's noncompliance to consider sanctions
C) An educational session between the clinical documentation integrity practitioner (CDIP) and physician
D) A meeting between the physician advisor/champion and the noncompliant physician

Solutions: