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AHIMA Certified Documentation Integrity Practitioner Sample Questions:

1. Which of the following clinical documentation integrity (CDI) dashboard metrics is frequently used to help evaluate the credibility of CDI practitioner queries and the success of the CDI program?

A) CDI agreement rate
B) Provider response rate
C) Provider agreement rate
D) CDI query rate

2. Hospital policy states that physician responses to queries should be no longer than timely payer filing requirements. A physician responds to a query after the final bill has been submitted. How should administration respond in this situation?

A) Maintain the original billing as supported by documentation in the medical record
B) Review the record to determine any potential data integrity impact and/or rebilling implications
C) Evaluate the payer's timeframe for billing and reasons for the physician's delayed response
D) Report the physician's delayed response to the Ethics and Compliance Committee

3. Proposed changes to the inpatient prospective payment system (IPPS) take effect on

A) July 1
B) October 1
C) April 1
D) January 1

4. A patient receives a blood transfusion after a 400 ml blood loss during surgery. The clinical documentation integrity practitioner (CDIP) queries the physician for an associated diagnosis. The facility does not maintain queries as part of the permanent health record. What does the physician need to document for the CDIP to record the query as answered and agreed?

A) A cause-and-effect relationship between anemia and the underlying cause
B) That the blood loss was not clinically significant
C) The associated diagnosis and the clinical rationale in the progress notes
D) The associated diagnosis directly on the query form

5. Which of the following indicates a noncompliant multiple-choice query? One that does NOT

A) include at least four options
B) allow the provider to add their own response
C) list options in alphabetical order
D) include the option of "unable to determine"

Solutions: