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AHIMA Certified Documentation Integrity Practitioner Sample Questions:
1. A query should be generated when the documentation is
A) legible
B) conflicting
C) complete
D) consistent
2. Which of the following falls under the False Claims Act?
A) Missing charges
B) Missing diagnosis codes
C) Unbundling services
D) Missing modifiers
3. An organization dealing with staffing shortages has adopted a policy requiring clinical documentation integrity practitioner (CDIP) to stop reviewing any record after a major complication or co-morbidity is found. What is the unintended consequence of this?
A) Decrease in severity of illness and risk of mortality
B) Reduced risk of clinical denials
C) Increase in case mix index
D) Increased number of records reviewed by each CDIP
4. A 75-year-old, diabetic patient with a history of osteoporosis, being treated with Fosamax, who sustained a femur fracture after falling down three stairs. The provider's documentation indicates to admit the patient for a traumatic femur fracture and an orthopedics consult is pending. The clinical documentation integrity practitioner (CDIP) decides to query for a possible link between osteoporosis and the femur fracture. Which of the following is the most compliant query based on the most recent AHIMA/ACDIS query practice brief?
A) Patient admitted for a femur fracture with a history of osteoporosis being treated with Fosamax. Could diabetes be a contributing factor in the femur fracture?
B) Patient admitted for a femur fracture with a history of osteoporosis being treated with Fosamax. Please clarify the cause of the femur fracture in your next note and/or the discharge summary.
C) Patient admitted for a femur fracture with a history of osteoporosis being treated with Fosamax. Please document "femur fracture due to osteoporosis" in your next progress note to demonstrate a link between the two diagnoses.
D) Patient admitted for a femur fracture with a history of osteoporosis being treated with Fosamax. In your medical opinion, is this fracture consistent with an osteoporotic pathological fracture?
5. The clinical documentation integrity (CDI) metrics recently showed a drastic drop in the physician query rate.
What might this indicate to the CDI manager?
A) The program is successful because documentation has improved
B) The loss of a large volume of patients has impacted workflow
C) The decrease in hospital census has caused a lack of query opportunities
D) CDI staff need education on identifying query opportunities
Solutions:
| Question # 1 Answer: B | Question # 2 Answer: C | Question # 3 Answer: A | Question # 4 Answer: D | Question # 5 Answer: D |


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