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AHIMA CDIP Exam Syllabus Topics:

AHIMA Certified Documentation Integrity Practitioner Sample Questions:

1. Which of the following organizations should a clinical documentation integrity practitioner (CDIP) monitor?

A) Center for Improvement in Healthcare (CIHQ), Accreditation Commission for Healthcare (ACHC), Recovery Auditors (RAs)
B) Recovery Auditors (RAs), Program for Evaluating Payment Patterns Electronic Report (PEPPER), Office of Inspector General (OIG)
C) Office of Inspector General (OIG), Accreditation Commission for Healthcare (ACHC), Recovery Auditors (RAs)
D) Program for Evaluating Payment Patterns Electronic Report (PEPPER), Recovery Auditors (RAs), Center for Improvement in Healthcare (CIHQ)

2. When queries are part of the health record, which of the following physician privilege could be suspended if the provider receives too many deficiencies due to incomplete records for failure to respond to queries?

A) Consulting
B) Credentialing
C) Surgical
D) Admitting

3. 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

4. Which of the following may result in an incomplete health record deficiency being assigned to a provider?

A) A concurrent query
B) A retrospective query
C) An outstanding query
D) A quality query

5. A patient's progress note states "The patient has chronic systolic heart failure". After reviewing clinical indicators suggestive of an exacerbation of systolic heart failure, the clinical documentation integrity practitioner (CDIP) queries the physician to clarify the current acuity of the diagnosis. Which subsequent documentation in the health record suggests the provider did not understand the query?

A) The patient has decompensated systolic heart failure.
B) The patient did have an exacerbation of heart failure.
C) The patient has chronic systolic heart failure.
D) The patient has acute on chronic systolic heart failure.

Solutions: