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AHIMA CDIP Exam Syllabus Topics:

AHIMA Certified Documentation Integrity Practitioner Sample Questions:

Question 1

Hospital policy states that physician responses to queries should be no longer than timely payer filing requirements. A physician responds to a query after the final bill has been submitted. How should administration respond in this situation?

A. Review the record to determine any potential data integrity impact and/or rebilling implications
B. Evaluate the payer's timeframe for billing and reasons for the physician's delayed response
C. Report the physician's delayed response to the Ethics and Compliance Committee
D. Maintain the original billing as supported by documentation in the medical record

Question 2

A clinical documentation integrity practitioner (CDIP) in an acute care hospital was asked to create new query templates for ICD-10 based on AHIMA and ACDIS guidelines. What should the multiple-choice query format include?

A. Impact on reimbursement
B. Clinically significant options
C. Clinically insignificant options
D. Clinically unsupported diagnosis

Question 3

An otherwise healthy male was admitted to undergo a total hip replacement as treatment for ongoing primary osteoarthritis of the right hip. During the post-operative period, the patient choked on liquids which resulted in aspiration pneumonia as shown on chest x-ray.
Intravenous antibiotics were administered, and the pneumonia was
monitored for improvement with two additional chest x-rays. The patient was discharged to home in stable condition on post-operative day 5.
Final Diagnoses:
1. Primary osteoarthritis of right hip status post uncomplicated total hip replacement
2. Aspiration pneumonia due to choking on liquid episode
What is the correct diagnostic related group assignment?

A. 179 Respiratory Infections and Inflammations without CC/MCC
B. 553 Bone Diseases and Arthropathies with MCC
C. 469 Major Joint Replacement or Reattachment of Lower Extremity with MCC
D. 470 Major Joint Replacement or Reattachment of Lower Extremity without MCC

Question 4

A query should be generated when the documentation is

A. complete
B. conflicting
C. consistent
D. legible

Question 5

A 94-year-old female patient is admitted with altered mental status and inability to move the left side of her body. She is diagnosed with a cerebral vascular accident with left sided weakness. The patient is ambidextrous, but the physician does not specify the predominance of the affected side. The default code is

A. non-dominant
B. ambidextrous
C. preferred
D. dominant

Solutions: