AHIMA CDIP real exam prep : Certified Documentation Integrity Practitioner

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AHIMA CDIP Exam Syllabus Topics:

AHIMA Certified Documentation Integrity Practitioner Sample Questions:

1. A 27-year-old male patient presents to the emergency room with crampy, right lower quadrant abdominal pain, a low-grade fever (101° Fahrenheit) and vomiting. The patient also has a history of type I diabetes mellitus. A complete blood count reveals mild leukocytosis (13,000/microliter). Abdominal ultrasound is ordered, and the patient is admitted for laparoscopic surgery. The patient is given an injection of neutral protamine Hagedorn insulin, in order to normalize the blood sugar level prior to surgery. Upon discharge, the attending physician documents "right lower quadrant abdominal pain due to possible acute appendicitis or probable Meckel diverticulitis".
What is the proper sequencing of the principal and secondary diagnoses?

A) Right lower quadrant abdominal pain, fever, vomiting, leukocytosis
B) Acute appendicitis, right lower quadrant abdominal pain, type I diabetes mellitus
C) Acute appendicitis, Meckel diverticulitis, type I diabetes mellitus
D) Right lower quadrant abdominal pain, acute appendicitis, Meckel diverticulitis, fever, vomiting, leukocytosis

2. Which of the following is an appropriate first step to address physicians with low query response rates?

A) A meeting between the physician advisor/champion and the noncompliant physician
B) The physician receives a suspension until query responses are improved
C) An educational session between the clinical documentation integrity practitioner (CDIP) and physician
D) The medical staff review the physician's noncompliance to consider sanctions

3. The clinical documentation integrity (CDI) manager reviewed all payer refined-diagnosis related groups (APR-DRG) benchmarking data and has identified potential opportunities for improvement. The manager hopes to develop a work plan to target severity of illness (SOI)/risk of mortality (ROM) by service line and providers. How can the manager gain more information about this situation?

A) Audit focused cases by physicians that have a higher SOI/ROM for education plan
B) Audit cases that have high SOI/ROM assigned by coders for education and follow-up
C) Audit cases for missed diagnosis by the CDI practitioner to target in the education plan
D) Audit focused APR-DRGs and develop education plan for CDI team and physicians

4. A noncompliant query includes querying the provider regarding

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

5. A 70-year-old severely malnourished nursing home patient is admitted for a pressure ulcer covered by eschar on the right hip. The provider is queried to clarify the stage of the pressure ulcer. Because the wound has not been debrided, the provider responds "unable to determine".
How will the stage of this pressure ulcer be coded?

A) Undetermined stage pressure ulcer
B) Unstageable pressure ulcer
C) Stage III pressure ulcer
D) Stage IV pressure ulcer

Solutions: