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AHIMA Certified Documentation Integrity Practitioner Sample Questions:

1. 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

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

3. Which member of the clinical documentation integrity (CDI) team can help provide peer-to-peer level of education on the importance of accurate documentation and query responses?

A) CDI manager
B) Chief Financial Officer
C) Physician advisor/champion
D) CDI practitioner

4. What type of laboratory test is a creatinine test?

A) Chemistry
B) Microbiology
C) Hematology
D) Serology

5. A patient has a history of asthma and presents with complaints of fever, cough, general body aches, and lethargy. The patient's child was recently diagnosed with influenza. Wheezing is heard on exam. The physician documents the diagnosis as asthma exacerbation and orders nebulizer treatments of Albuterol and a 5-day course of oral Prednisone. The clinical documentation integrity practitioner (CDIP) is unsure which signs and symptoms are inherent to asthma. Which reference resource should be used to obtain this information?

A) Medical Dictionary
B) Physician's Desk Reference
C) The Merck Manual
D) AMA CPT Assistant

Solutions: