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AHIMA CDIP Exam Syllabus Topics:

AHIMA Certified Documentation Integrity Practitioner Sample Questions:

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

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

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

3. Proposed changes to the inpatient prospective payment system (IPPS) take effect on

A) January 1
B) October 1
C) July 1
D) April 1

4. Which of the following may make physicians lose respect for clinical documentation integrity (CDI) efforts and disengage?

A) The physician advisor/champion's interventions with noncompliant physicians
B) CDI practitioners sending multiple queries to hospitalist physicians
C) Inconsistent clinically relevant queries
D) Providing many lectures, newsletters, tip sheets, and pocket cards for physician education

5. A 90-year-old female patient was admitted to emergency room c/o nausea and vomiting x2 days. Vital signs:
BP 130/72, P 86, R 22, T 99.8F, O2 sat 94% on room air. Patient has a history of cerebral vascular accident (CVA) and difficulty swallowing. CXR revealed right lower lobe infiltrate. Labs: WBC 12.0 with 71% segs. Physician documents patient with a history of CVA and difficulty swallowing. CXR revealed right lower lobe infiltrate, diagnosis: pneumonia.
Aspiration precautions and IV Clindamycin
ordered. Patient was discharged 3 days later with a diagnosis of pneumonia. Clarification is needed to determine which of the following is clinically indicated.

A) Complex pneumonia
B) Aspiration pneumonia
C) Simple pneumonia
D) Pneumonia, a sequela of CVA

Solutions: