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AHIMA CDIP Exam Syllabus Topics:

AHIMA Certified Documentation Integrity Practitioner Sample Questions:

1. Tracking denials within the clinical documentation integrity program is important to

A) determine coding inaccuracies and educate as necessary
B) file a timely appeal if the medical center disagrees with the RAC findings
C) identify documentation improvement opportunities and educate as necessary
D) confirm reimbursement was appropriate

2. AHIMA suggests which of the following for an organization to consider as physician response rate and agreement rate?

A) 75%/75%
B) 80%/40%
C) 80%/80%
D) 70%/50%

3. A hospital administrator has hired a clinical documentation integrity (CDI) firm to improve its revenue objectives. The physicians object to this action. How should the firm collaborate with physicians to overcome their objections?

A) Hire a consultant to communicate the benefits to the physicians
B) Create a vision statement that outlines the project objectives
C) Identify an influential physician advisor/champion to promote support
D) Communicate the benefits of the CDI firm about the project

4. A hospital clinical documentation integrity (CDI) director suspects physicians are over-using electronic copy and paste in patient records, a practice that increases the risk of fraudulent insurance billings. A documentation integrity project may be needed. What is the first step the CDI director should take?

A) Recommend the physicians to be involved in the project
B) Gather data on the incidence of inaccurate record documentation
C) Bring together a team of physicians and informatics specialists
D) Alert senior leadership to the record documentation problem

5. A clinical documentation integrity practitioner (CDIP) generates a concurrent query and continues to follow retrospectively; however, the coder releases the bill before the query is answered. The CDIP wonders if it is appropriate to re-bill the account if the physician answers the query after the bill has dropped. Which policy should the hospital follow to avoid a compliance risk?

A) A post-bill query rarely occurs as a result of an audit or other internal monitor.
B) A post bill query is not appropriate when an error is found after an audit.
C) A rebilling is permissible when queries are answered after the initial bill.
D) A second bill should not be submitted when the first bill was incomplete.

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