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AHIMA Certified Documentation Integrity Practitioner Sample Questions:

1. Which of the following should an organization consider when developing a query retention policy and procedure?

A) If the query is considered part of the health record
B) What the escalation process will be
C) Who should be queried
D) How the query will be formatted

2. Which of the following can be evidence of physician-hospital alignment?

A) A low physician agreement rate
B) A high clinical documentation integrity practitioner (CDIP) query rate
C) A high physician agreement rate
D) A high physician response rate

3. Hospital policy states that physician responses to queries should be no longer than timely payer filing requirements. A physician responds to a query after the final bill has been submitted. How should administration respond in this situation?

A) Evaluate the payer's timeframe for billing and reasons for the physician's delayed response
B) Review the record to determine any potential data integrity impact and/or rebilling implications
C) Report the physician's delayed response to the Ethics and Compliance Committee
D) Maintain the original billing as supported by documentation in the medical record

4. After one year, the clinical documentation integrity (CDI) program has become stagnant, and the manager plans to reinvigorate the program to better reflect the CDI efforts in the organization. What can the manager do to ensure program success?

A) Expand the CDI program to larger areas in outpatient clinics
B) Establish a CDI steering committee to build a strong foundation
C) Identify key metrics to develop program measures for coders
D) Prioritize to focus on efforts with the largest return on investment

5. A noncompliant query includes querying the provider regarding

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

Solutions: