Certified Documentation Integrity Practitioner (CDIP) Exam – AHIMA

Certified Documentation Integrity Practitioner (CDIP) Exam – AHIMA

Question 

The clinical documentation integrity (CDI) manager reviewed all payer refined-diagnosis related groups (APR-DRG) benchmarking data and has identified potential opportunities for improvement. The manager hopes to develop a work plan to target severity of illness (SOI)/risk of mortality (ROM) by service line and providers. How can the manager gain more information about this situation?

A. Audit focused cases by physicians that have a higher SOI/ROM for education plan

B. Audit cases for missed diagnosis by the CDI practitioner to target in the education plan

C. Audit focused APR-DRGs and develop education plan for CDI team and physicians

D. Audit cases that have high SOI/ROM assigned by coders for education and follow-up

Question 

A hospital’s internal medicine department is comprised of 34 physicians. During the month of September, the query response rate for the entire internal medicine department is 82%. However, it is noted that the individual query response rate for one doctor, who recently joined the internal medicine department, is 14%. With whom should the clinical documentation integrity practitioner (CDIP) schedule a meeting to resolve the unanswered queries for this doctor?

A. Chief operations officer

B. Chief executive officer

C. Clinical documentation integrity physician advisor/champion

D. Health information management director

Question 

After a thorough chart review, the health information management (HIM) director noted that the attending physician failed to provide sufficient documentation to support an appropriate diagnosis of human immunodeficiency virus. Which measure will help improve physician documentation?

A. Standardized physician queries

B. Physician-specific policies and procedures

C. Departmental-specific policies and procedures

D. Standardized coder queries

Question 

Benchmark data for case mix index, complication or comorbidity (CC) capture rate, and DRG pairs are published by which of the following entities?

A. The Joint Commission

B. American Hospital Association

C. Quality Improvement Organizations

D. Centers for Medicare and Medicaid Services

Question 

The clinical documentation integrity (CDI) manager is scheduling educational meetings with providers to improve documentation specificity. What should the CDI manager present to the providers to assist in the education efforts?

A. Examples of queries with high agreement rate

B. Examples of documentation progress and failures

C. List of diagnostic related group tips for optimal assignment

D. List of diagnoses and conditions at the correct level of specificity

Question 

The most beneficial step to identify post-discharge query opportunities that affect severity of illness, risk of mortality, and case weight is to:

A. Identify normal diagnostic test results that may indicate a possible addition of a secondary diagnosis

B. Watch for reportable conditions or conditions that are unambiguous or otherwise complete

C. Look for documented conditions that have well-supported accompanying clinical criteria

D. Determine if only the treatment is documented and there is no diagnosis documented

Question 

Understanding baseline performance for which of the following will provide valuable information for prioritizing documentation integrity focus areas?

A. Coding agreement

B. Coding management

C. Denials management

D. Physician agreement…………………………………………purchase this entire examination at $99 only