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AHIMA Certified Documentation Integrity Practitioner Sample Questions:

1. Besides the physician advisor/champion, who should be included as a key stakeholder in the clinical documentation integrity (CDI) steering committee to promote CDI initiatives?

A) Director of Risk Management
B) Manager of Surgical Services
C) Director of Informatics
D) Manager of HIM/Coding

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) Oversight
B) Compliance
C) Communications
D) Operations

3. A key physician approaches the director of the coding department about the new emphasis associated with clinical documentation integrity (CDI). The physician does not support the program and believes the initiative will encourage inappropriate billing.
How should the director respond to the concerns?

A) Involve the physician advisor/champion in addressing the medical staff's concerns
B) Refer the physician to the finance department to discuss required billing changes
C) Develop an administrative panel to oversee CDI process
D) Inform the physician that changes must be made

4. 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) 948 Signs and Symptoms without MCC
B) 069 Transient Ischemia
C) 066 Intracranial Hemorrhage or Cerebral Infarction without CC/MCC
D) 093 Other Disorders of Nervous System without CC/MCC

5. Creating policies and procedures for the query process will help eliminate

A) risk
B) duplication
C) confusion
D) indecision

Solutions: