AHIMA CDIP Value Pack (Frequently Bought Together)

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AHIMA CDIP Exam Syllabus Topics:

AHIMA Certified Documentation Integrity Practitioner Sample Questions:

1. A patient was admitted with complaints of confusion, weakness, and slurred speech. A CT of the head and MRI were performed and resulted in normal findings. Daily aspirin was administered and a speech therapy evaluation was conducted. The final diagnosis on discharge was transient ischemic attack, and cerebrovascular disease was ruled out. What is the correct diagnostic related group assignment?

A) 069 Transient Ischemia
B) 093 Other Disorders of Nervous System without CC/MCC
C) 066 Intracranial Hemorrhage or Cerebral Infarction without CC/MCC
D) 948 Signs and Symptoms without MCC

2. An otherwise healthy male was admitted to undergo a total hip replacement as treatment for ongoing primary osteoarthritis of the right hip. During the post-operative period, the patient choked on liquids which resulted in aspiration pneumonia as shown on chest x-ray.
Intravenous antibiotics were administered, and the pneumonia was
monitored for improvement with two additional chest x-rays. The patient was discharged to home in stable condition on post-operative day 5.
Final Diagnoses:
1. Primary osteoarthritis of right hip status post uncomplicated total hip replacement
2. Aspiration pneumonia due to choking on liquid episode
What is the correct diagnostic related group assignment?

A) 469 Major Joint Replacement or Reattachment of Lower Extremity with MCC
B) 179 Respiratory Infections and Inflammations without CC/MCC
C) 470 Major Joint Replacement or Reattachment of Lower Extremity without MCC
D) 553 Bone Diseases and Arthropathies with MCC

3. The clinical documentation integrity (CDI) manager has noted a query response rate of 60%. The CDI practitioner reports that physicians often respond verbally to the query. What can be done to improve this rate?

A) Have CDI manager teaming with coding supervisor to monitor physician responses
B) Permit CDI practitioners to document physician responses in the charts
C) Allow physician to respond via e-mail
D) Require physicians to document responses in charts

4. A hospital clinical documentation integrity (CDI) director suspects physicians are over-using electronic copy and paste in patient records, a practice that increases the risk of fraudulent insurance billings. A documentation integrity project may be needed. What is the first step the CDI director should take?

A) Bring together a team of physicians and informatics specialists
B) Recommend the physicians to be involved in the project
C) Alert senior leadership to the record documentation problem
D) Gather data on the incidence of inaccurate record documentation

5. A 70-year-old severely malnourished nursing home patient is admitted for a pressure ulcer covered by eschar on the right hip. The provider is queried to clarify the stage of the pressure ulcer. Because the wound has not been debrided, the provider responds "unable to determine".
How will the stage of this pressure ulcer be coded?

A) Stage III pressure ulcer
B) Undetermined stage pressure ulcer
C) Stage IV pressure ulcer
D) Unstageable pressure ulcer

Solutions: