AHIMA CDIP

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AHIMA Certified Documentation Integrity Practitioner Sample Questions:

1. Which of the following should be examined when developing documentation integrity projects?

A) Coding productivity statistics
B) Physician satisfaction surveys
C) CC and MCC capture rates
D) Query rates from coding staff

2. A hospital noticed a 30% denial rate in Medicare claims due to lack of clinical documentation, placing the hospital at risk of multiple Medicare violations. What step should the clinical documentation integrity (CDI) manager take to help avoid future Medicare violations?
Collaborate with physician advisor/champion and revenue cycle manager
Instruct the billing department to write off claims with insufficient documentation

A) Assign pre-billing claim review duties to physicians
B) Prevent submission of claims for improper documentation

3. Which of the following is a clinical documentation integrity (CDI) financial impact measure?

A) Hierarchical condition category
B) Severity of illness
C) Case mix index
D) Release of information

4. Which of the following individuals should the clinical documentation integrity (CDI) manager consult when developing query policy and procedures?

A) Compliance Officer
B) Chief Financial Officer
C) CDI practitioner
D) Chief Medical Officer

5. 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) Teach coding classes to the new physicians as needed
C) Determine primary interests of an individual or department
D) Determine primary interests and needs as requested

Solutions: