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AHIMA Certified Documentation Integrity Practitioner Sample Questions:

1. Automated registration entries that generate erroneous patient identification-possibly leading to patient safety and quality of care issues, enabling fraudulent activity involving patient identity theft, or providing unjustified care for profit-is an example of a potential breach of:

A) Patient identification and demographic accuracy
B) Authorship integrity
C) Auditing integrity
D) Documentation integrity


2. Several physicians at a local hospital are having difficulty providing adequate documentation on patients admitted with a diagnosis of pneumonia with or without clinical indications of gram-negative pneumonia. Subsequently, clinical documentation integrity practitioners (CDIPs) are altering health records. Which policy and procedure should be developed to ensure compliant practice?

A) Performance standards
B) Accreditation standards
C) Quality improvement standards
D) Professional ethical standards


3. A hospital administrator has hired a clinical documentation integrity (CDI) firm to improve its revenue objectives. The physicians object to this action. How should the firm collaborate with physicians to overcome their objections?

A) Hire a consultant to communicate the benefits to the physicians
B) Identify an influential physician advisor/champion to promote support
C) Create a vision statement that outlines the project objectives
D) Communicate the benefits of the CDI firm about the project


4. The facility has received a clinical validation denial for sepsis. The denial states sepsis is not a clinically valid diagnosis because it does not meet Sepsis-3 criteria. The facility has a policy stating it uses Sepsis-2 criteria.
What is the BEST next step?

A) Appeal the denial because all payors must use the hospital's sepsis criteria when reviewing their claims.
B) Have the contracting department work with payors to obtain agreement on how sepsis will be clinically validated.
C) Query physicians when Sepsis-3 criteria is not met so they can provide additional documentation to support the diagnosis.
D) Remove sepsis from all claims where the diagnosis is not supported by sepsis 3 criteria.


5. Which of the following individuals is the first line of escalation for an unanswered query?

A) HIM/Coding Manager
B) CDI Steering Committee
C) Medical Director
D) CDI Manager


Solutions:

Question # 1
Answer: A
Question # 2
Answer: D
Question # 3
Answer: B
Question # 4
Answer: B
Question # 5
Answer: D

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