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AHIMA Certified Documentation Integrity Practitioner Sample Questions:
1. What is the term used when a patient is entered in the Master Patient Index (MPI) multiple times, in different ways, resulting in multiple medical record numbers?
A) Clone
B) Replica
C) Overlap
D) Facsimile
2. The facility has received a clinical validation denial for sepsis. The denial states sepsis is not a clinically valid diagnosis because it does not meet Sepsis-3 criteria. The facility has a policy stating it uses Sepsis-2 criteria.
What is the BEST next step?
A) Have the contracting department work with payors to obtain agreement on how sepsis will be clinically validated.
B) Remove sepsis from all claims where the diagnosis is not supported by sepsis 3 criteria.
C) Query physicians when Sepsis-3 criteria is not met so they can provide additional documentation to support the diagnosis.
D) Appeal the denial because all payors must use the hospital's sepsis criteria when reviewing their claims.
3. 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) The loss of a large volume of patients has impacted workflow
B) The program is successful because documentation has improved
C) The decrease in hospital census has caused a lack of query opportunities
D) CDI staff need education on identifying query opportunities
4. A clinical documentation integrity practitioner (CDIP) is developing a plan to promote the CDI program throughout a major hospital. It is proving challenging to find support. What is a primary step for the CDIP?
A) Teach nursing staff about documentation integrity
B) Determine primary interests and needs as requested
C) Teach coding classes to the new physicians as needed
D) Determine primary interests of an individual or department
5. 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) Take the case to physician advisor/champion to discuss further action
B) Query physician for POA
C) No query is needed
D) Bring this case up in weekly Health Information Management meetings for further action
Solutions:
| Question # 1 Answer: C | Question # 2 Answer: A | Question # 3 Answer: D | Question # 4 Answer: D | Question # 5 Answer: B |





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