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AHIMA CDIP Exam Syllabus Topics:

AHIMA Certified Documentation Integrity Practitioner Sample Questions:

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

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

2. Which of the following should be shared to ensure a clear sense of what clinical documentation integrity (CDI) is and the CDI practitioner's role within the organization?

A) Mission
B) Review schedule
C) Milestones
D) Productivity standards

3. A 75-year-old, diabetic patient with a history of osteoporosis, being treated with Fosamax, who sustained a femur fracture after falling down three stairs. The provider's documentation indicates to admit the patient for a traumatic femur fracture and an orthopedics consult is pending. The clinical documentation integrity practitioner (CDIP) decides to query for a possible link between osteoporosis and the femur fracture. Which of the following is the most compliant query based on the most recent AHIMA/ACDIS query practice brief?

A) Patient admitted for a femur fracture with a history of osteoporosis being treated with Fosamax. In your medical opinion, is this fracture consistent with an osteoporotic pathological fracture?
B) Patient admitted for a femur fracture with a history of osteoporosis being treated with Fosamax. Could diabetes be a contributing factor in the femur fracture?
C) Patient admitted for a femur fracture with a history of osteoporosis being treated with Fosamax. Please clarify the cause of the femur fracture in your next note and/or the discharge summary.
D) Patient admitted for a femur fracture with a history of osteoporosis being treated with Fosamax. Please document "femur fracture due to osteoporosis" in your next progress note to demonstrate a link between the two diagnoses.

4. Tracking denials within the clinical documentation integrity program is important to

A) identify documentation improvement opportunities and educate as necessary
B) determine coding inaccuracies and educate as necessary
C) file a timely appeal if the medical center disagrees with the RAC findings
D) confirm reimbursement was appropriate

5. The correct coding for heart failure with preserved ejection fraction is

A) I50.9 Heart failure, unspecified
B) I50.30 Unspecified diastolic (congestive) heart failure
C) I50.20 Unspecified systolic (congestive) heart failure
D) 150.32 Chronic diastolic (congestive) heart failure

Solutions: