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AHIMA CDIP Exam Syllabus Topics:

AHIMA Certified Documentation Integrity Practitioner Sample Questions:

Question 1

Which of the following diagnosis is MOST likely to trigger a second level review?

A. Heart failure
B. Malnutrition
C. Acute kidney injury
D. Pneumonia

Question 2

A clinical documentation integrity practitioner (CDIP) is reviewing an outpatient surgical chart. The patient underwent a laparoscopic appendectomy for acute gangrenous appendicitis. Which coding reference should be used for coding advice on correct assignment of the procedure code for proper ambulatory payment classification (APC) reimbursement?

A. The Merck Manual
B. O ICD-10-CM/PCS Codebook
C. AHA Coding Clinic for ICD-10-CM/PCS
D. O AMA CPT Assistant

Question 3

An 86-year-old female is brought to the emergency department by her daughter. The patient complains of feeling tired, weak and excessive sleeping. The patient's daughter comments that patient's mental condition has not been the same. Lab results are unremarkable except for a sodium level of 119, a BUN of 22, and a creatinine of 1.35. The patient receives normal saline IV infusing at 100 cc/hr. The admitting diagnosis is weakness, altered mental status and dehydration. Which of the following queries is presented in an ethical manner thus avoiding potential fraud and/or compliance issues?

A. Patient is feeling tired, weak, sleeping a lot and has altered mental status. Sodium is 119 and she is on NS IV at 100 cc/hr, please clarify the clinical significance of the lab result.
B. Patient is feeling tired, weak, sleeping a lot and has altered mental status. Sodium is 119 and she is on NS IV at 100 cc/hr. Is the altered mental status related to the sodium of 119?
C. Patient's sodium is 119 and she is on NS IV at 100 cc/hr, does patient have hyponatremia?
D. Patient's sodium is 119 and she is on NS IV at 100 cc/hr, is this clinically significant? If so, please document a corresponding diagnosis related to this lab result.

Question 4

While reviewing a chart, a clinical documentation integrity practitioner (CDIP) needs to access the general rules for the ICD-10-CM Includes Notes and Excludes Notes
1 and 2. Which coding reference should be used?

A. AMA CPT Assistant
B. ICD-10-CM Official Guidelines for Coding and Reporting
C. Faye Brown's Coding Handbook
D. AHA Coding Clinic for ICD-10-CM

Question 5

Combination codes are used to classify two diagnoses, a diagnosis with a manifestation, or a diagnosis

A. with an associated complication
B. that is an integral part of a disease process
C. with an associated procedure
D. with a sequelae or late effect

Solutions: