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AHIMA CDIP Exam Syllabus Topics:

AHIMA Certified Documentation Integrity Practitioner Sample Questions:

1. Identify the error in the following query:
This patient's echocardiogram showed an ejection fraction of 25%. The chest x-ray showed congestive heart failure (CHF). The patient was prescribed Lasix and an angiotensin-converting enzyme inhibitor (ACEI). Is this patient's CHF systolic?

A) The query is unclear.
B) The query contains irrelevant information.
C) The query is leading.
D) The query does not contain clinical indicators.

2. While reviewing a chart, a clinical documentation integrity practitioner (CDIP) needs to access the general rules for the ICD-10-CM Includes Notes and Excludes Notes
1 and 2. Which coding reference should be used?

A) AMA CPT Assistant
B) AHA Coding Clinic for ICD-10-CM
C) ICD-10-CM Official Guidelines for Coding and Reporting
D) Faye Brown's Coding Handbook

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

4. When there is a discrepancy between the clinical documentation integrity practitioner's (CDIP's) working DRG and the coder's final DRG, which of the following is considered a fundamental element that must be in place for a successful resolution?

A) Executive oversight
B) Physician and CDIP interaction
C) Physician advisor/champion involvement
D) Coder and CDIP interaction

5. A noncompliant query includes querying the provider regarding

A) gram-negative pneumonia on every pneumonia case, regardless of documented clinical indicators
B) sepsis that was present on admission because sepsis was only documented in the discharge summary
C) morbid obesity due to BMI of 40.9 documented on the history and physical
D) acute blood loss anemia due to low hemoglobin treated with iron supplements

Solutions: