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AHIMA CDIP Exam Syllabus Topics:

AHIMA Certified Documentation Integrity Practitioner Sample Questions:

1. When there are comparative contrasting diagnoses supported by clinical criteria, the correct action is to

A) code the first condition listed
B) code both diagnoses
C) query for clarification
D) not code either diagnosis

2. A patient was admitted for high fever and pain in umbilical region. During the second day of the hospital stay, the patient stood up to use the restroom and fell on the floor, resulting in a broken chin bone. A physician noted the fall on the second day in progress note. Which further clarification should be done regarding present on admission (POA) indicator of fall?

A) No query is needed
B) Query physician for POA
C) Bring this case up in weekly Health Information Management meetings for further action
D) Take the case to physician advisor/champion to discuss further action

3. A 70-year-old severely malnourished nursing home patient is admitted for a pressure ulcer covered by eschar on the right hip. The provider is queried to clarify the stage of the pressure ulcer. Because the wound has not been debrided, the provider responds "unable to determine".
How will the stage of this pressure ulcer be coded?

A) Stage III pressure ulcer
B) Undetermined stage pressure ulcer
C) Stage IV pressure ulcer
D) Unstageable pressure ulcer

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

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

5. 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

Solutions: