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AHIMA Certified Documentation Integrity Practitioner Sample Questions:

1. Which of the following is a clinical documentation integrity (CDI) financial impact measure?

A) Hierarchical condition category
B) Release of information
C) Severity of illness
D) Case mix index

2. What policies should query professionals follow?

A) CMS's policies related to querying
B) All healthcare entity's policies are the same
C) Their healthcare entity's internal policies related to querying
D) AHIMA's policies related to querying

3. A clinical documentation integrity practitioner (CDIP) is reviewing an outpatient surgical chart. The patient underwent a laparoscopic appendectomy for acute gangrenous appendicitis. Which coding reference should be used for coding advice on correct assignment of the procedure code for proper ambulatory payment classification (APC) reimbursement?

A) The Merck Manual
B) O ICD-10-CM/PCS Codebook
C) AHA Coding Clinic for ICD-10-CM/PCS
D) O AMA CPT Assistant

4. A key physician approaches the director of the coding department about the new emphasis associated with clinical documentation integrity (CDI). The physician does not support the program and believes the initiative will encourage inappropriate billing.
How should the director respond to the concerns?

A) Involve the physician advisor/champion in addressing the medical staff's concerns
B) Refer the physician to the finance department to discuss required billing changes
C) Develop an administrative panel to oversee CDI process
D) Inform the physician that changes must be made

5. A noncompliant query includes querying the provider regarding

A) acute blood loss anemia due to low hemoglobin treated with iron supplements
B) sepsis that was present on admission because sepsis was only documented in the discharge summary
C) morbid obesity due to BMI of 40.9 documented on the history and physical
D) gram-negative pneumonia on every pneumonia case, regardless of documented clinical indicators

Solutions: