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Certified Documentation Integrity Practitioner

Last Update Jun 18, 2024
Total Questions : 140

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Last Update Jun 18, 2024
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Certified Documentation Integrity Practitioner Questions and Answers

Questions 1

A patient was admitted for high fever and pain in umbilical region. During the second day of the hospital stay, the patient stood up to use the restroom and fell on the floor, resulting in a broken chin bone. A physician noted the fall on the second day in

progress note. Which further clarification should be done regarding present on admission (POA) indicator of fall?

Options:

A.

No query is needed

B.

Query physician for POA

C.

Bring this case up in weekly Health Information Management meetings for further action

D.

Take the case to physician advisor/champion to discuss further action

Questions 2

A clinical documentation integrity practitioner (CDIP) hired by an internal medicine clinic is creating policies governing written queries. What is an AHIMA best practice for these policies?

Options:

A.

Queries are limited to non-leading questions

B.

Non-responses to written queries are grounds for discipline

C.

Primary care physicians must answer written queries

D.

Queries for illegible chart notes are unnecessary

Questions 3

Which of the following individuals should the clinical documentation integrity (CDI) manager consult when developing query policy and procedures?

Options:

A.

Chief Medical Officer

B.

Compliance Officer

C.

CDI practitioner

D.

Chief Financial Officer