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AHIMA Certified Documentation Integrity Practitioner Sample Questions:

1. When there are comparative contrasting diagnoses supported by clinical criteria, the correct action is to

A) code the first condition listed
B) code both diagnoses
C) query for clarification
D) not code either diagnosis

2. Which of the following should be examined when developing documentation integrity projects?

A) Coding productivity statistics
B) CC and MCC capture rates
C) Physician satisfaction surveys
D) Query rates from coding staff

3. A patient falls off a ladder and undergoes a right femur procedure. Three weeks later, the patient returns to the hospital for removal of the external fixation device. The ICD-10-CM 7th character code value should indicate

A) aftercare
B) subsequent
C) initial
D) sequela

4. A patient is admitted for pneumonia with a WBC of 20,000, respiratory rate 20, heart rate 85, and oral temperature 99.0°. On day 2, sputum cultures reveal positive results for pseudomonas bacteria. The most appropriate action is to

A) code pneumonia, unspecified
B) query the provider to document the etiology of pneumonia
C) code pseudomonas pneumonia
D) query the provider to see if pseudomonas sepsis is supported by the health record

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

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

Solutions: