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AHIMA Certified Documentation Integrity Practitioner Sample Questions:

1. A modifier may be used in CPT and/or HCPCS codes to indicate

A) a service or procedure was performed in its entirety
B) a service or procedure was performed by one provider
C) a service or procedure resulted in expected outcomes
D) a service or procedure was increased or reduced

2. Which of the following should be shared to ensure a clear sense of what clinical documentation integrity (CDI) is and the CDI practitioner's role within the organization?

A) Productivity standards
B) Milestones
C) Mission
D) Review schedule

3. A hospital administrator wants to initiate a clinical documentation integrity (CDI) program and has developed a steering committee to identify performance metrics. The CDI manager expects to use a case mix index as one of the metrics. Which other metric will need to be measured?

A) Assessment of CC/MCC capture rates
B) Comparison of risk of mortality with diagnostic related group capture rates
C) Assessment of APR-DRGs with capture of CC or MCC
D) Comparison of severity of illness with the CC capture rates

4. A query should be generated when the documentation is

A) legible
B) consistent
C) conflicting
D) complete

5. The provider was queried because the patient met clinical criteria for acute hypoxic respiratory failure. The response to the query was different than what was expected by the clinical documentation integrity practitioner (CDIP). What should the CDIP do?

A) Revise the query and send it back to the provider
B) Have a different CDIP query the provider
C) Record the query response as disagreed
D) Implement the department's escalation process

Solutions: