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AHIMA Certified Documentation Integrity Practitioner Sample Questions:

1. Which of the following falls under the False Claims Act?

A) Unbundling services
B) Missing diagnosis codes
C) Missing modifiers
D) Missing charges

2. A patient is admitted for chronic obstructive pulmonary disease (COPD) exacerbation. The patient is on 3L of home oxygen and is treated during admission with 3L of oxygen. The most appropriate action is to

A) query the provider to see if respiratory insufficiency is supported by the health record
B) query the provider to see if acute on chronic respiratory failure is supported by the health record
C) query the provider to see if chronic respiratory failure is supported by the health record
D) code the diagnoses of COPD exacerbation and chronic respiratory failure

3. When there is a discrepancy between the clinical documentation integrity practitioner's (CDIP's) working DRG and the coder's final DRG, which of the following is considered a fundamental element that must be in place for a successful resolution?

A) Physician advisor/champion involvement
B) Physician and CDIP interaction
C) Coder and CDIP interaction
D) Executive oversight

4. A patient has a history of asthma and presents with complaints of fever, cough, general body aches, and lethargy. The patient's child was recently diagnosed with influenza. Wheezing is heard on exam. The physician documents the diagnosis as asthma exacerbation and orders nebulizer treatments of Albuterol and a 5-day course of oral Prednisone. The clinical documentation integrity practitioner (CDIP) is unsure which signs and symptoms are inherent to asthma. Which reference resource should be used to obtain this information?

A) Medical Dictionary
B) The Merck Manual
C) AMA CPT Assistant
D) Physician's Desk Reference

5. The best approach in resolving unanswered queries is to

A) notify the coding team of the physician's unanswered query
B) contact the physician repeatedly until he/she responds to the query
C) notify the physician advisor/champion that the physician has not responded to the query
D) review the facility's query policies and procedures

Solutions: