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AHIMA CDIP Exam Syllabus Topics:

AHIMA Certified Documentation Integrity Practitioner Sample Questions:

1. What type of query may NOT be used in circumstances where only clinical indicators of a condition are present, and the condition/diagnosis has not been documented in the health record?

A) Multiple-choice
B) Yes/No
C) Verbal
D) Open-ended

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

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

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

4. In order to best demonstrate the impact of clinical documentation on severity of illness and risk of mortality, which of the following examples is the most effective for physicians in a hospital?

A) Emphasize the Medicare requirements for documentation
B) Examples from the hospital's actual cases
C) The latest Medicare Provider and Analysis Review data
D) Explanations on how severity of illness and risk of mortality impact reimbursement

5. A modifier may be used in CPT and/or HCPCS codes to indicate

A) a service or procedure was increased or reduced
B) a service or procedure resulted in expected outcomes
C) a service or procedure was performed by one provider
D) a service or procedure was performed in its entirety

Solutions: