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AHIMA Certified Documentation Integrity Practitioner Sample Questions:

1. Which member of the clinical documentation integrity (CDI) team can help provide peer-to-peer level of education on the importance of accurate documentation and query responses?

A) Chief Financial Officer
B) CDI manager
C) Physician advisor/champion
D) CDI practitioner

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

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

3. Which of the following individuals is the first line of escalation for an unanswered query?

A) CDI Manager
B) Medical Director
C) CDI Steering Committee
D) HIM/Coding Manager

4. Several physicians at a local hospital are having difficulty providing adequate documentation on patients admitted with a diagnosis of pneumonia with or without clinical indications of gram-negative pneumonia. Subsequently, clinical documentation integrity practitioners (CDIPs) are altering health records. Which policy and procedure should be developed to ensure compliant practice?

A) Accreditation standards
B) Quality improvement standards
C) Performance standards
D) Professional ethical standards

5. 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) Milestones
C) Review schedule
D) Productivity standards

Solutions: