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AHIMA CDIP Exam Syllabus Topics:

AHIMA Certified Documentation Integrity Practitioner Sample Questions:

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

A) provide community education to healthcare consumers
B) create synergy between clinical education and CDI principles
C) show a direct relationship between clinical documentation and quality patient care
D) promote CDI functions so that physicians view the CDI staff as value-added service

2. Which of the following is an appropriate first step to address physicians with low query response rates?

A) The medical staff review the physician's noncompliance to consider sanctions
B) The physician receives a suspension until query responses are improved
C) An educational session between the clinical documentation integrity practitioner (CDIP) and physician
D) A meeting between the physician advisor/champion and the noncompliant physician

3. Which of the following criteria for clinical documentation means the content of the record is trustworthy, safe, and yielding the same result when repeated?

A) Legible
B) Precise
C) Reliable
D) Complete

4. Which of the following is the definition of an Excludes 2 note in ICD-10-CM?

A) Two codes can be used together to completely describe the condition
B) This is not a convention found in ICD-10-CM
C) Only one code can be assigned to completely describe the condition
D) Neither of the codes can be assigned

5. A 70-year-old severely malnourished nursing home patient is admitted for a pressure ulcer covered by eschar on the right hip. The provider is queried to clarify the stage of the pressure ulcer. Because the wound has not been debrided, the provider responds "unable to determine".
How will the stage of this pressure ulcer be coded?

A) Stage IV pressure ulcer
B) Undetermined stage pressure ulcer
C) Unstageable pressure ulcer
D) Stage III pressure ulcer

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