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AHIMA CDIP Exam Syllabus Topics:

AHIMA Certified Documentation Integrity Practitioner Sample Questions:

1. A clinical documentation integrity (CDI) program that is compliant with regulations from the facility's payors results in

A) higher overall program cost
B) less risk from audits
C) meeting external benchmarks
D) need for more CDI staff

2. Which of these medical conditions would a clinical documentation integrity practitioner (CDIP) expect to be treated with Levophed?

A) Acute kidney failure
B) Multiple sclerosis
C) Septic shock
D) Acute respiratory failure

3. After one year, the clinical documentation integrity (CDI) program has become stagnant, and the manager plans to reinvigorate the program to better reflect the CDI efforts in the organization. What can the manager do to ensure program success?

A) Prioritize to focus on efforts with the largest return on investment
B) Expand the CDI program to larger areas in outpatient clinics
C) Identify key metrics to develop program measures for coders
D) Establish a CDI steering committee to build a strong foundation

4. Automated registration entries that generate erroneous patient identification-possibly leading to patient safety and quality of care issues, enabling fraudulent activity involving patient identity theft, or providing unjustified care for profit-is an example of a potential breach of:

A) Auditing integrity
B) Patient identification and demographic accuracy
C) Authorship integrity
D) Documentation integrity

5. The facility has received a clinical validation denial for sepsis. The denial states sepsis is not a clinically valid diagnosis because it does not meet Sepsis-3 criteria. The facility has a policy stating it uses Sepsis-2 criteria.
What is the BEST next step?

A) Have the contracting department work with payors to obtain agreement on how sepsis will be clinically validated.
B) Query physicians when Sepsis-3 criteria is not met so they can provide additional documentation to support the diagnosis.
C) Appeal the denial because all payors must use the hospital's sepsis criteria when reviewing their claims.
D) Remove sepsis from all claims where the diagnosis is not supported by sepsis 3 criteria.

Solutions: