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AHIMA Certified Documentation Integrity Practitioner Sample Questions:

1. The third quarter target concurrent physician query response rate for each physician in a hospital gastroenterology department was 80%. Nine physicians met or exceeded this metric; however, two physicians had third quarter concurrent physician query response rates of 19% and 64%. What is the best course of action for the clinical documentation integrity (CDI) physician advisor/champion?

A) Schedule individual meetings with each physician
B) Schedule individual meetings with each low-performing physician
C) Schedule a group meeting with all physicians
D) Schedule a meeting with the chair of the gastroenterology department

2. What is the term used when a patient is entered in the Master Patient Index (MPI) multiple times, in different ways, resulting in multiple medical record numbers?

A) Clone
B) Replica
C) Overlap
D) Facsimile

3. What policies should query professionals follow?

A) Their healthcare entity's internal policies related to querying
B) CMS's policies related to querying
C) AHIMA's policies related to querying
D) All healthcare entity's policies are the same

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

5. A patient's progress note states "The patient has chronic systolic heart failure". After reviewing clinical indicators suggestive of an exacerbation of systolic heart failure, the clinical documentation integrity practitioner (CDIP) queries the physician to clarify the current acuity of the diagnosis. Which subsequent documentation in the health record suggests the provider did not understand the query?

A) The patient has decompensated systolic heart failure.
B) The patient has acute on chronic systolic heart failure.
C) The patient did have an exacerbation of heart failure.
D) The patient has chronic systolic heart failure.

Solutions: