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AHIMA CDIP Exam Syllabus Topics:

AHIMA Certified Documentation Integrity Practitioner Sample Questions:

1. The clinical documentation integrity (CDI) manager is meeting with a steering committee to discuss the adoption of a new CDI program. The plan is to use case mix index (CMI) as a metric of CDI performance.
How will this metric be measured?

A) Over time with a focus on particular documentation improvement areas in addition to the overall CMI
B) Month-to-month to show CMI variability as a barometer of a specific month
C) Month-to-month and focus on patient volumes to determine the raise the overall CMI
D) Over time with a focus on high relative weight (RW) procedures that impact these procedures on overall CMI

2. Which of the following is MOST likely to trigger a second-level review?

A) An account coded before the discharge summary is available
B) A procedure code that increases reimbursement
C) A diagnosis that impacts a quality-of-care measure
D) A record with multiple major complicating conditions (MCCs)

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

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

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

5. The clinical documentation integrity (CDI) manager is reviewing physician benchmarks and notices a low-severity level being measured against average length of stay.
What should the CDI manager keep in mind when discussing this observation with physicians?

A) The indicator is a key factor of measurement for quality reports.
B) The diagnosis with a higher degree of specificity has a lower severity of illness.
C) The query rate is too high while the agreement rate is low.
D) The query response rate directly correlates to quality reports.

Solutions: