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AHIMA Certified Documentation Integrity Practitioner Sample Questions:

1. 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 second bill should not be submitted when the first bill was incomplete.
C) A rebilling is permissible when queries are answered after the initial bill.
D) A post bill query is not appropriate when an error is found after an audit.

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

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

3. What policies should query professionals follow?

A) CMS's policies related to querying
B) AHIMA's policies related to querying
C) Their healthcare entity's internal policies related to querying
D) All healthcare entity's policies are the same

4. An 88-year-old male is admitted with a fever, cough, and leukocytosis. The physician documents admit for probable sepsis due to urinary tract infection (UTI). Antibiotics are started. Three days later, the blood and urine cultures are negative, the patient has been afebrile since admission, and the white blood count is returning to normal. What documentation clarification is needed to support accurate coding of the record?

A) Send a clinical validation query for both the diagnoses of sepsis and UTI.
B) Send a clinical validation query for only the diagnosis of sepsis.
C) Send a clinical validation query for only the diagnosis of UTI.
D) A clinical validation query is not required for either diagnosis.

5. The physician advisor/champion needs to provide ongoing education regarding coding and reimbursement regulations to the

A) organization senior administration staff
B) clinical documentation integrity staff
C) organization's medical and surgical staff
D) Health Information Management coding staff

Solutions: