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AHIMA CDIP Exam Syllabus Topics:

AHIMA Certified Documentation Integrity Practitioner Sample Questions:

1. The clinical documentation integrity (CDI) manager is reviewing physician benchmarks and notices a low-severity level being measured against average length of stay.
What should the CDI manager keep in mind when discussing this observation with physicians?

A) The diagnosis with a higher degree of specificity has a lower severity of illness.
B) The query response rate directly correlates to quality reports.
C) The query rate is too high while the agreement rate is low.
D) The indicator is a key factor of measurement for quality reports.

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

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

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

4. 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) Diagnostic related groups and revenue cycle
C) Value and mission statements
D) Reporting and the use of technology

5. Combination codes are used to classify two diagnoses, a diagnosis with a manifestation, or a diagnosis

A) that is an integral part of a disease process
B) with a sequelae or late effect
C) with an associated complication
D) with an associated procedure

Solutions: