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AHIMA Certified Documentation Integrity Practitioner Sample Questions:

1. When are concurrent queries initiated?

A) Before patient is admitted
B) While the patient is hospitalized
C) After the health record has been coded
D) After discharge of the patient

2. A clinical documentation integrity practitioner (CDIP) is looking for clarity on whether a diagnosis has been
"ruled in" or "ruled out". Which type of query is the best option?

A) Open-ended
B) Multiple-choice
C) Yes/No
D) None

3. Combination codes are used to classify two diagnoses, a diagnosis with a manifestation, or a diagnosis

A) with an associated procedure
B) with a sequelae or late effect
C) that is an integral part of a disease process
D) with an associated complication

4. The best approach in resolving unanswered queries is to

A) notify the physician advisor/champion that the physician has not responded to the query
B) review the facility's query policies and procedures
C) contact the physician repeatedly until he/she responds to the query
D) notify the coding team of the physician's unanswered query

5. 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 did have an exacerbation of heart failure.
C) The patient has acute on chronic systolic heart failure.
D) The patient has decompensated systolic heart failure.

Solutions: