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AHIMA CDIP Exam Syllabus Topics:

AHIMA Certified Documentation Integrity Practitioner Sample Questions:

1. 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) Increase in case mix index
C) Increased number of records reviewed by each CDIP
D) Reduced risk of clinical denials

2. Educating physicians on severity of illness and risk of mortality is best accomplished by utilizing

A) case studies
B) the DRG Expert
C) physician report cards
D) the case mix index

3. A 50-year-old male patient was admitted with complaint of 3-day history of shortness of breath. Vital signs:
BP 165/90, P 90, T 99.9.F, O2 sat 95% on room air. Patient
has history of asthma, chronic obstructive pulmonary disease (COPD), and hypertension (HTN). His medicines are Albuterol and Norvasc. CXR showed chronic lung disease and left lower lobe infiltrate. Labs: WBC 9.5 with 65% segs. Physician documented that patient has asthma flair and admitted with decompensated COPD, ordered IV steroids, O2 at 2L/min via nasal cannula, Albuterol inhalers 4x per day, and Clindamycin. Patient improved and was discharged 3 days later. Which action would have the highest impact on the patient's severity of illness (SOI) and risk of mortality (ROM)?

A) Query the physician to clarify for type of COPD such as severe asthma.
B) Query the physician to clarify for clinical significance of the CXR results.
C) Query the physician to clarify if patient has acute COPD exacerbation.
D) Query the physician to clarify if CXR result means patient has pneumonia.

4. When benchmarking with outside organizations, the clinical documentation integrity practitioner (CDIP) must determine if the organization is benchmarking with which of the following criteria?

A) Hospital within its state
B) Hospitals that are its peers
C) Hospital within its county
D) Hospital within its region

5. Which of the following is an example of a hospital-acquired condition when not present on admission?

A) Iatrogenic pneumothorax with lung biopsy
B) Pressure ulcer stage II
C) Iatrogenic pneumothorax with venous catheterization
D) Pressure ulcer stage III

Solutions: