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AHIMA Certified Documentation Integrity Practitioner Sample Questions:

1. Based on the flowchart below, at what point might the clinical documentation integrity practitioner (CDIP) enlist the help of the physician advisor/champion?

A) D - No retrospective query opportunity identified
B) C - Retrospective query opportunity identified
C) E - Physician agrees with query and documents in MR
D) H - Physician fails to respond tocquery

2. Which of the following clinical documentation integrity (CDI) dashboard metrics is frequently used to help evaluate the credibility of CDI practitioner queries and the success of the CDI program?

A) CDI query rate
B) CDI agreement rate
C) Provider response rate
D) Provider agreement rate

3. Which of the following is considered a hospital-acquired condition if not present on admission?

A) Air leak
B) Stage I and II pressure ulcers
C) Blood incompatibility
D) Diabetes with hypoglycemia

4. Which of the following individuals is the first line of escalation for an unanswered query?

A) HIM/Coding Manager
B) Medical Director
C) CDI Manager
D) CDI Steering Committee

5. Which of the following criteria for clinical documentation means the content of the record is trustworthy, safe, and yielding the same result when repeated?

A) Reliable
B) Precise
C) Complete
D) Legible

Solutions: