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AHIMA Certified Documentation Integrity Practitioner Sample Questions:

1. What type of laboratory test is a creatinine test?

A) Serology
B) Chemistry
C) Hematology
D) Microbiology

2. AHIMA suggests which of the following for an organization to consider as physician response rate and agreement rate?

A) 70%/50%
B) 80%/40%
C) 75%/75%
D) 80%/80%

3. When there is a discrepancy between the clinical documentation integrity practitioner's (CDIP's) working DRG and the coder's final DRG, which of the following is considered a fundamental element that must be in place for a successful resolution?

A) Physician and CDIP interaction
B) Executive oversight
C) Coder and CDIP interaction
D) Physician advisor/champion involvement

4. A 56-year-old male patient complains of feeling fatigued, has nausea & vomiting, swelling in both legs.
Patient has history of chronic kidney disease (CKD) stage III,
coronary artery disease (CAD) & hypertension (HTN). He is on Lisinopril. Vital signs: BP 160/80, P 84, R 20, T 100.OF. Labs: WBC 11.5 with 76% segs, GFR 45. CXR showed slight left lower lobe haziness. Patient was admitted for acute kidney injury (AKI) with acute tubular necrosis (ATN). He was scheduled for hemodialysis the next day. Two days after admission patient started coughing, fever of 101.8F, CXR showed left lower lobe infiltrate, possible pneumonia. Attending physician documented that patient has pneumonia and ordered Rocephin IV. How should the clinical documentation integrity practitioner (CDIP) interact with the physician to clarify whether or not the pneumonia is a hospital-acquired condition (HAC)?

A) Dr. Adair, in your clinical opinion, do you think that the patient's acute kidney injury with ATN exacerbated the patient's pneumonia?
B) No need to query the physician because even if the pneumonia is considered a HAC and cannot be used as an MCC, ATN is also an MCC.
C) No need to interact with the physician because it is obvious the pneumonia developed after admission, therefore, not present on admission.
D) Dr. Adair, please indicate if the patient's pneumonia was present on admission (POA) based on the initial chest x-ray?

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

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

Solutions: