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AHIMA Certified Documentation Integrity Practitioner Sample Questions:

1. A query should be generated when documentation contains a

A) principal diagnosis without an MCC
B) postoperative hospital-acquired condition
C) diagnosis without clinical validation
D) problem list with symptoms related to the chief complaint

2. Which of the following committees should determine the chain of comnfand that will be used to manage physicians who are either unresponsive or uncooperative with the clinical documentation integrity (CDI) program?

A) Operations
B) Communications
C) Compliance
D) Oversight

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

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

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

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

5. Tracking denials within the clinical documentation integrity program is important to

A) identify documentation improvement opportunities and educate as necessary
B) determine coding inaccuracies and educate as necessary
C) confirm reimbursement was appropriate
D) file a timely appeal if the medical center disagrees with the RAC findings

Solutions: