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AHIMA CDIP Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Education and Leadership Development | 21–26% | - Promote Documentation Integrity
|
| Clinical Coding Practice | 15–18% | - Coding Application and Resources
|
| CDI Metrics & Statistics | - Measure and Analyze CDI Performance
| |
| Record Review & Document Clarification | - Review Clinical Records
| |
| Compliance | - Regulatory and Compliance Fundamentals
|
AHIMA Certified Documentation Integrity Practitioner Sample Questions:
Reviewing and analyzing physician query content on a regular basis
- A. assists in identifying gaps in skills and knowledge
- B. helps to calculate query response rate
- C. aids in discussion between physician and reviewer
- D. facilitates physician data collection
Correct Answer: A 🗳️
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A patient is admitted for chronic obstructive pulmonary disease (COPD) exacerbation. The patient is on 3L of home oxygen and is treated during admission with 3L of oxygen. The most appropriate action is to
- A. code the diagnoses of COPD exacerbation and chronic respiratory failure
- B. query the provider to see if acute on chronic respiratory failure is supported by the health record
- C. query the provider to see if respiratory insufficiency is supported by the health record
- D. query the provider to see if chronic respiratory failure is supported by the health record
Correct Answer: B 🗳️
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The BEST place for the provider to document a query response is which of the following?
- A. The next progress note and the problem list
- B. An addendum to the history and physical
- C. The next progress note and all subsequent notes including the discharge summary
- D. The query form
Correct Answer: A 🗳️
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What is the term used when a patient is entered in the Master Patient Index (MPI) multiple times, in different ways, resulting in multiple medical record numbers?
- A. Facsimile
- B. Clone
- C. Replica
- D. Overlap
Correct Answer: D 🗳️
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In order to best demonstrate the impact of clinical documentation on severity of illness and risk of mortality, which of the following examples is the most effective for physicians in a hospital?
- A. Examples from the hospital's actual cases
- B. Explanations on how severity of illness and risk of mortality impact reimbursement
- C. Emphasize the Medicare requirements for documentation
- D. The latest Medicare Provider and Analysis Review data
Correct Answer: A 🗳️
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