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AHIMA CDIP Exam Syllabus Topics:

AHIMA Certified Documentation Integrity Practitioner Sample Questions:

1. What is the term used when a patient is entered in the Master Patient Index (MPI) multiple times, in different ways, resulting in multiple medical record numbers?

A) Facsimile
B) Overlap
C) Replica
D) Clone

2. Which factors are important to include when refocusing the primary vision of a clinical documentation integrity (CDI) program?

A) Benchmarks and case mix index
B) Value and mission statements
C) Reporting and the use of technology
D) Diagnostic related groups and revenue cycle

3. A 70-year-old severely malnourished nursing home patient is admitted for a pressure ulcer covered by eschar on the right hip. The provider is queried to clarify the stage of the pressure ulcer. Because the wound has not been debrided, the provider responds "unable to determine".
How will the stage of this pressure ulcer be coded?

A) Unstageable pressure ulcer
B) Stage III pressure ulcer
C) Undetermined stage pressure ulcer
D) Stage IV pressure ulcer

4. Review the following query to determine if it is compliant:
Dr. Jones, this patient had a sodium level of 126 on admission and was started on a 0.9% saline IV. Can you indicate what condition is being treated?
Dehydration
Hyponatremia
Hypernatremia
Chronic kidney disease (indicate stage)
Other (please specify)

A) No, query is noncompliant as it does not provide the option of "unable to determine".
B) Yes, query is compliant as it provides clinical indicators and several options for response.
C) Yes, query is compliant as it offers the minimum number of multiple-choice answers ..
D) No, query is noncompliant as one of the multiple-choice options is clinically irrelevant.

5. A patient is admitted due to pneumonia. On day 1, a sputum culture is positive for psuedomonas bacteria. If the physician is queried and agrees that the patient has pseudomonas pneumonia, this specificity would

A) meet medical necessity
B) not increase relative weight
C) not meet medical necessity
D) increase relative weight

Solutions: