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AHIMA CDIP Exam Syllabus Topics:

AHIMA Certified Documentation Integrity Practitioner Sample Questions:

1. When are concurrent queries initiated?

A) After the health record has been coded
B) Before patient is admitted
C) After discharge of the patient
D) While the patient is hospitalized

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

3. The ultimate purpose of clinical documentation integrity (CDI) expansion and growth is to

A) show a direct relationship between clinical documentation and quality patient care
B) provide community education to healthcare consumers
C) create synergy between clinical education and CDI principles
D) promote CDI functions so that physicians view the CDI staff as value-added service

4. 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. Please document "femur fracture due to osteoporosis" in your next progress note to demonstrate a link between the two diagnoses.
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. Could diabetes be a contributing factor in the femur fracture?

5. The clinical documentation integrity (CDI) metrics recently showed a drastic drop in the physician query rate.
What might this indicate to the CDI manager?

A) CDI staff need education on identifying query opportunities
B) The loss of a large volume of patients has impacted workflow
C) The decrease in hospital census has caused a lack of query opportunities
D) The program is successful because documentation has improved

Solutions: