Certified Documentation Integrity Practitioner: CDIP Exam
"Certified Documentation Integrity Practitioner", also known as CDIP exam, is a AHIMA Certification. With the complete collection of questions and answers, PrepPDF has assembled to take you through 140 Q&As to your CDIP Exam preparation. In the CDIP exam resources, you will cover every field and category in AHIMA CDI Certification helping to ready you for your successful AHIMA Certification.
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AHIMA CDIP Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Education and Leadership Development | 21–26% | - Promote Documentation Integrity
|
| Topic 2: Compliance | - Regulatory and Compliance Fundamentals
| |
| Topic 3: CDI Metrics & Statistics | - Measure and Analyze CDI Performance
| |
| Topic 4: Record Review & Document Clarification | - Review Clinical Records
| |
| Topic 5: Clinical Coding Practice | 15–18% | - Coding Application and Resources
|
AHIMA Certified Documentation Integrity Practitioner Sample Questions:
Patient is admitted with oliguria, pulmonary edema, and dehydration. Labs are remarkable for an elevated creatinine of 2.4, with a baseline of 1.1. Patient was hydrated for 48 hours with drop in creatinine. What would the appropriate action be?
- A. Code acute renal failure since symptoms are there and documented
- B. Query the physician to see if acute renal failure with tubular necrosis is supported
- C. No query is needed because the patient was dehydrated
- D. Query the physician to see if acute renal failure is clinically supported
Correct Answer: D 🗳️
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The correct coding for heart failure with preserved ejection fraction is
- A. I50.30 Unspecified diastolic (congestive) heart failure
- B. I50.9 Heart failure, unspecified
- C. I50.20 Unspecified systolic (congestive) heart failure
- D. 150.32 Chronic diastolic (congestive) heart failure
Correct Answer: A 🗳️
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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 if CXR result means patient has pneumonia.
- B. Query the physician to clarify if patient has acute COPD exacerbation.
- C. Query the physician to clarify for clinical significance of the CXR results.
- D. Query the physician to clarify for type of COPD such as severe asthma.
Correct Answer: A 🗳️
When are concurrent queries initiated?
- A. After the health record has been coded
- B. After discharge of the patient
- C. While the patient is hospitalized
- D. Before patient is admitted
Correct Answer: C 🗳️
An otherwise healthy male was admitted to undergo a total hip replacement as treatment for ongoing primary osteoarthritis of the right hip. During the post-operative period, the patient choked on liquids which resulted in aspiration pneumonia as shown on chest x-ray.
Intravenous antibiotics were administered, and the pneumonia was
monitored for improvement with two additional chest x-rays. The patient was discharged to home in stable condition on post-operative day 5.
Final Diagnoses:
1. Primary osteoarthritis of right hip status post uncomplicated total hip replacement
2. Aspiration pneumonia due to choking on liquid episode
What is the correct diagnostic related group assignment?
- A. 179 Respiratory Infections and Inflammations without CC/MCC
- B. 470 Major Joint Replacement or Reattachment of Lower Extremity without MCC
- C. 553 Bone Diseases and Arthropathies with MCC
- D. 469 Major Joint Replacement or Reattachment of Lower Extremity with MCC
Correct Answer: D 🗳️
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