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AHIMA Certified Documentation Integrity Practitioner Sample Questions:

1. A clinical documentation integrity (CDI) program that is compliant with regulations from the facility's payors results in

A) less risk from audits
B) meeting external benchmarks
C) higher overall program cost
D) need for more CDI staff


2. Which of the following is used to measure the impact of a clinical documentation integrity (CDI) program on Centers for Medicare and Medicaid Services quality performance?

A) Risk of mortality
B) Outcome measures
C) Case mix index
D) Severity of illness


3. A query should include

A) relevant clinical indicators
B) information from previous encounters
C) the impact of reimbursement
D) the impact on quality


4. A 45-year-old female is admitted after sustaining a femur fracture. Orthopedics is consulted and performs an open reduction internal fixation (ORIF) of the femur without complication. Nursing documents the patient has a body mass index of 42 kg/m2. The clinical documentation integrity practitioner (CDIP) determines a query is needed to capture a diagnosis associated with the body mass index so it can be reported. Which of the following is the MOST compliant query based on the most recent AHIIMA/ACDIS query practice brief?

A) Nursing documents the BMI is 42 kg/m2. Can you please clarify if the patient's morbid obesity was present on admission and add the diagnosis to future progress notes?
B) Nursing documents the BMI is 42 kg/m2. In order to capture a co-morbid condition (CC) to increase reimbursement, please add 'morbid obesity with BMI 42 kg/m2' to your next progress note.
C) Nursing documents the BMI is 42 kg/m2. To increase the severity of illness and risk of mortality, please add 'morbid obesity with BMI 42 kg/m2' to your next progress note.
D) Nursing documents the BMI is 42 kg/m2. Please consider if any of the following diagnoses should be added to the health record to support this finding: morbid obesity; obesity; other diagnosis (please state)


5. Which of the following should an organization consider when developing a query retention policy and procedure?

A) If the query is considered part of the health record
B) How the query will be formatted
C) What the escalation process will be
D) Who should be queried


Solutions:

Question # 1
Answer: A
Question # 2
Answer: B
Question # 3
Answer: A
Question # 4
Answer: D
Question # 5
Answer: A

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