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AHIMA Certified Documentation Integrity Practitioner Sample Questions:

1. What policies should query professionals follow?

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

2. Which entity has the following regulation?
A medical history and physical examination be completed and documented for each patient no more than 30 days before or 24 hours after admission or registration, but prior to surgery or a procedure requiring anesthesia services.

A) Office of Inspector General
B) Centers for Medicare & Medicaid Services
C) Office for Civil Rights
D) Office of the National Coordinator for Health Information Technology

3. A noncompliant query includes querying the provider regarding

A) acute blood loss anemia due to low hemoglobin treated with iron supplements
B) sepsis that was present on admission because sepsis was only documented in the discharge summary
C) morbid obesity due to BMI of 40.9 documented on the history and physical
D) gram-negative pneumonia on every pneumonia case, regardless of documented clinical indicators

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) Determine primary interests of an individual or department
B) Teach coding classes to the new physicians as needed
C) Teach nursing staff about documentation integrity
D) Determine primary interests and needs as requested

5. Proposed changes to the inpatient prospective payment system (IPPS) take effect on

A) April 1
B) July 1
C) January 1
D) October 1

Solutions: