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AHIMA CDIP Exam Syllabus Topics:

AHIMA Certified Documentation Integrity Practitioner Sample Questions:

1. The clinical documentation integrity (CDI) manager reviewed all payer refined-diagnosis related groups (APR-DRG) benchmarking data and has identified potential opportunities for improvement. The manager hopes to develop a work plan to target severity of illness (SOI)/risk of mortality (ROM) by service line and providers. How can the manager gain more information about this situation?

A) Audit cases that have high SOI/ROM assigned by coders for education and follow-up
B) Audit cases for missed diagnosis by the CDI practitioner to target in the education plan
C) Audit focused cases by physicians that have a higher SOI/ROM for education plan
D) Audit focused APR-DRGs and develop education plan for CDI team and physicians

2. Which of the following may make physicians lose respect for clinical documentation integrity (CDI) efforts and disengage?

A) Providing many lectures, newsletters, tip sheets, and pocket cards for physician education
B) Inconsistent clinically relevant queries
C) The physician advisor/champion's interventions with noncompliant physicians
D) CDI practitioners sending multiple queries to hospitalist physicians

3. Proposed changes to the inpatient prospective payment system (IPPS) take effect on

A) April 1
B) January 1
C) July 1
D) October 1

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

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

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

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