Certified Documentation Integrity Practitioner (CDIP) Free Practice Test

Question 1

Creating policies and procedures for the query process will help eliminate

A. duplication

B. risk

C. indecision

D. confusion

Correct Answer: D

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Question 2

Educating physicians on severity of illness and risk of mortality is best accomplished by utilizing

A. the case mix index

B. physician report cards

C. case studies

D. the DRG Expert

Correct Answer: C

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Question 3

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. Please document "femur fracture due to osteoporosis" in your next progress note to demonstrate a link between the two diagnoses.

B. 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.

C. 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?

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?

Correct Answer: C

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Question 4

A patient's progress note states "The patient has chronic systolic heart failure". After reviewing clinical indicators suggestive of an exacerbation of systolic heart failure, the clinical documentation integrity practitioner (CDIP) queries the physician to clarify the current acuity of the diagnosis. Which subsequent documentation in the health record suggests the provider did not understand the query?

A. The patient has chronic systolic heart failure.

B. The patient has decompensated systolic heart failure.

C. The patient did have an exacerbation of heart failure.

D. The patient has acute on chronic systolic heart failure.

Correct Answer: A

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Question 5

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

A. promote CDI functions so that physicians view the CDI staff as value-added service

B. create synergy between clinical education and CDI principles

C. show a direct relationship between clinical documentation and quality patient care

D. provide community education to healthcare consumers

Correct Answer: C

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Question 6

A query should include

A. information from previous encounters

B. the impact on quality

C. the impact of reimbursement

D. relevant clinical indicators

Correct Answer: D

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Question 7

Which of the following is nonessential to facilitate code capture when educating clinical staff on documentation practices associated with diabetes mellitus?

A. Age

B. Type

C. Cause

D. Manifestation

Correct Answer: A

Question 8

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

A. 80%/80%

B. 70%/50%

C. 80%/40%

D. 75%/75%

Correct Answer: A

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AHIMA Certified Documentation Integrity Practitioner (CDIP) Free Practice Test