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AHIMA CDIP Exam Syllabus Topics:

AHIMA Certified Documentation Integrity Practitioner Sample Questions:

1. A clinical documentation integrity practitioner (CDIP) is developing a plan to promote the CDI program throughout a major hospital. It is proving challenging to find support. What is a primary step for the CDIP?

A) Teach coding classes to the new physicians as needed
B) Determine primary interests of an individual or department
C) Determine primary interests and needs as requested
D) Teach nursing staff about documentation integrity

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

3. Identify the error in the following query:
This patient's echocardiogram showed an ejection fraction of 25%. The chest x-ray showed congestive heart failure (CHF). The patient was prescribed Lasix and an angiotensin-converting enzyme inhibitor (ACEI). Is this patient's CHF systolic?

A) The query is unclear.
B) The query contains irrelevant information.
C) The query is leading.
D) The query does not contain clinical indicators.

4. A 94-year-old female patient is admitted with altered mental status and inability to move the left side of her body. She is diagnosed with a cerebral vascular accident with left sided weakness. The patient is ambidextrous, but the physician does not specify the predominance of the affected side. The default code is

A) preferred
B) ambidextrous
C) dominant
D) non-dominant

5. A resident returns to the long-term care facility following hospital care for pneumonia. The physician's orders and progress note state "Continue IV antibiotics for pneumonia - 3 more days, after which time the resident is to have a repeat x-ray to determine status of the pneumonia". Is it appropriate to code the pneumonia in this scenario?

A) Yes, J18.9, Pneumonia, unspecified organism, should be coded until the condition is resolved
B) Yes J18.8, Pneumonia, other specified organism
C) No, since the patient needed a repeat x-ray, the condition does not clarify as a diagnosis
D) Yes, J18.9, Pneumonia, unspecified organism, Z79.2 should be coded along with long term antibiotics

Solutions: