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AHIMA CDIP Exam Syllabus Topics:

AHIMA Certified Documentation Integrity Practitioner Sample Questions:

Question 1

A hospital administrator has hired a clinical documentation integrity (CDI) firm to improve its revenue objectives. The physicians object to this action. How should the firm collaborate with physicians to overcome their objections?

A. Communicate the benefits of the CDI firm about the project
B. Create a vision statement that outlines the project objectives
C. Hire a consultant to communicate the benefits to the physicians
D. Identify an influential physician advisor/champion to promote support

Question 2

Which of the following may make physicians lose respect for clinical documentation integrity (CDI) efforts and disengage?

A. The physician advisor/champion's interventions with noncompliant physicians
B. Providing many lectures, newsletters, tip sheets, and pocket cards for physician education
C. CDI practitioners sending multiple queries to hospitalist physicians
D. Inconsistent clinically relevant queries

Question 3

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

Question 4

A 50-year-old male patient was admitted with complaint of 3-day history of shortness of breath. Vital signs:
BP 165/90, P 90, T 99.9.F, O2 sat 95% on room air. Patient
has history of asthma, chronic obstructive pulmonary disease (COPD), and hypertension (HTN). His medicines are Albuterol and Norvasc. CXR showed chronic lung disease and left lower lobe infiltrate. Labs: WBC 9.5 with 65% segs. Physician documented that patient has asthma flair and admitted with decompensated COPD, ordered IV steroids, O2 at 2L/min via nasal cannula, Albuterol inhalers 4x per day, and Clindamycin. Patient improved and was discharged 3 days later. Which action would have the highest impact on the patient's severity of illness (SOI) and risk of mortality (ROM)?

A. Query the physician to clarify for clinical significance of the CXR results.
B. Query the physician to clarify if patient has acute COPD exacerbation.
C. Query the physician to clarify for type of COPD such as severe asthma.
D. Query the physician to clarify if CXR result means patient has pneumonia.

Question 5

Which of the following should be shared to ensure a clear sense of what clinical documentation integrity (CDI) is and the CDI practitioner's role within the organization?

A. Milestones
B. Productivity standards
C. Mission
D. Review schedule

Solutions: