AHIMA CDIP : Certified Documentation Integrity Practitioner

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AHIMA CDIP Exam Syllabus Topics:

AHIMA Certified Documentation Integrity Practitioner Sample Questions:

1. For inpatients with a discharge principal diagnosis of acute myocardial infarction, aspirin must be taken within
24 hours of arrival unless a contraindication to aspirin is
documented. How should this be documented in the health record?

A) The name of the medication (aspirin) and the date it was last administered
B) The name of the medication (aspirin), the date and location where it was last administered
C) The name of the medication (aspirin), the date and time it was last administered
D) The name of the medication (aspirin), the date, time and location where it was last administered

2. AHIMA suggests which of the following for an organization to consider as physician response rate and agreement rate?

A) 80%/40%
B) 80%/80%
C) 70%/50%
D) 75%/75%

3. Which of the following is a clinical documentation element supporting a transbronchial biopsy?

A) Pathology report documenting bronchial tissue
B) Hemoptysis
C) Length of procedure
D) Pathology report documenting alveolar tissue

4. The clinical documentation integrity practitioner (CDIP) performed a verbal query and then later neglected following up with the provider. How should the CDIP avoid a compliance risk for this follow up failure according to AHIMA's Guidelines for Achieving a Compliant Query Practice?

A) Complete the documentation immediately after the provider's response
B) Complete the documentation at the time of discussion or immediately following
C) Complete the documentation when there is a provider agreement
D) Complete the documentation at the end of the day when entering cases reviewed

5. The provider was queried because the patient met clinical criteria for acute hypoxic respiratory failure. The response to the query was different than what was expected by the clinical documentation integrity practitioner (CDIP). What should the CDIP do?

A) Have a different CDIP query the provider
B) Implement the department's escalation process
C) Revise the query and send it back to the provider
D) Record the query response as disagreed

Solutions: