Pass exam with CDIP Top Exam Collection for sure one-shot

AHIMA CDIP Exam Overview:

AHIMA CDIP Exam Syllabus Topics:

AHIMA Certified Documentation Integrity Practitioner Sample Questions:

1. An 86-year-old female is brought to the emergency department by her daughter. The patient complains of feeling tired, weak and excessive sleeping. The patient's daughter comments that patient's mental condition has not been the same. Lab results are unremarkable except for a sodium level of 119, a BUN of 22, and a creatinine of 1.35. The patient receives normal saline IV infusing at 100 cc/hr. The admitting diagnosis is weakness, altered mental status and dehydration. Which of the following queries is presented in an ethical manner thus avoiding potential fraud and/or compliance issues?

A) Patient is feeling tired, weak, sleeping a lot and has altered mental status. Sodium is 119 and she is on NS IV at 100 cc/hr. Is the altered mental status related to the sodium of 119?
B) Patient's sodium is 119 and she is on NS IV at 100 cc/hr, does patient have hyponatremia?
C) Patient is feeling tired, weak, sleeping a lot and has altered mental status. Sodium is 119 and she is on NS IV at 100 cc/hr, please clarify the clinical significance of the lab result.
D) Patient's sodium is 119 and she is on NS IV at 100 cc/hr, is this clinically significant? If so, please document a corresponding diagnosis related to this lab result.

2. Which physician would best benefit from additional education for unanswered queries?

A) Dr. C
B) Dr. A
C) Dr. D
D) Dr. B

3. Which of the following sources provide external benchmarks to examine the effectiveness of a facility's clinical documentation program?

A) Agency for Healthcare Research and Quality
B) Medicare Provider Analysis and Review
C) American Health Information Management Association
D) Health Care Financing Administration

4. A query should be generated when the documentation is

A) complete
B) legible
C) conflicting
D) consistent

5. A 50-year-old male patient was admitted with complaint of 3-day history of shortness of breath. Vital signs:
BP 165/90, P 90, T 99.9.F, O2 sat 95% on room air. Patient
has history of asthma, chronic obstructive pulmonary disease (COPD), and hypertension (HTN). His medicines are Albuterol and Norvasc. CXR showed chronic lung disease and left lower lobe infiltrate. Labs: WBC 9.5 with 65% segs. Physician documented that patient has asthma flair and admitted with decompensated COPD, ordered IV steroids, O2 at 2L/min via nasal cannula, Albuterol inhalers 4x per day, and Clindamycin. Patient improved and was discharged 3 days later. Which action would have the highest impact on the patient's severity of illness (SOI) and risk of mortality (ROM)?

A) Query the physician to clarify for type of COPD such as severe asthma.
B) Query the physician to clarify if CXR result means patient has pneumonia.
C) Query the physician to clarify if patient has acute COPD exacerbation.
D) Query the physician to clarify for clinical significance of the CXR results.

Solutions: