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AHIMA Certified Documentation Integrity Practitioner Sample Questions:

1. A noncompliant query includes querying the provider regarding

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

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

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

3. Which of the following diagnosis is MOST likely to trigger a second level review?

A) Heart failure
B) Acute kidney injury
C) Malnutrition
D) Pneumonia

4. When there are comparative contrasting diagnoses supported by clinical criteria, the correct action is to

A) query for clarification
B) not code either diagnosis
C) code both diagnoses
D) code the first condition listed

5. A clinical documentation integrity practitioner (CDIP) is looking for clarity on whether a diagnosis has been
"ruled in" or "ruled out". Which type of query is the best option?

A) Open-ended
B) Yes/No
C) None
D) Multiple-choice

Solutions: