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AHIMA Certified Documentation Integrity Practitioner Sample Questions:

1. A patient presented with shortness of breath, elevated B-type natriuretic peptide, and lower extremity edema to the emergency room. During the hospitalization, a cardiac echocardiogram was performed and revealed an ejection fraction of 55% with diastolic dysfunction. The patient's history includes hypertension (HTN), chronic kidney disease (CKD) (baseline glomerular filtration rate 40) and congestive heart failure (CHF). The clinical documentation integrity practitioner (CDIP) has queried the physician to further clarify the patient's diagnosis. Which response provides the highest level of specificity?

A) Acute CHF with hypertensive renal disease, CKD 3
B) Acute diastolic CHF with HTN and CKD 3
C) Acute on chronic diastolic CHF with hypertensive renal disease, CKD 3
D) Acute on chronic systolic CHF with hypertensive renal disease, CKD 3

2. Which of the following falls under the False Claims Act?

A) Unbundling services
B) Missing modifiers
C) Missing diagnosis codes
D) Missing charges

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

4. When are concurrent queries initiated?

A) While the patient is hospitalized
B) Before patient is admitted
C) After the health record has been coded
D) After discharge of the patient

5. When there is a discrepancy between the clinical documentation integrity practitioner's (CDIP's) working DRG and the coder's final DRG, which of the following is considered a fundamental element that must be in place for a successful resolution?

A) Physician and CDIP interaction
B) Physician advisor/champion involvement
C) Coder and CDIP interaction
D) Executive oversight

Solutions: