THREE EASY-TO-USE SUREPASSEXAMS AHIMA CDIP EXAM QUESTIONS FORMATS

Three Easy-to-Use SurePassExams AHIMA CDIP Exam Questions Formats

Three Easy-to-Use SurePassExams AHIMA CDIP Exam Questions Formats

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AHIMA Certified Documentation Integrity Practitioner Sample Questions (Q116-Q121):

NEW QUESTION # 116
Which of the following is an appropriate first step to address physicians with low query response rates?

  • A. A meeting between the physician advisor/champion and the noncompliant physician
  • B. The physician receives a suspension until query responses are improved
  • C. The medical staff review the physician's noncompliance to consider sanctions
  • D. An educational session between the clinical documentation integrity practitioner (CDIP) and physician

Answer: D

Explanation:
Explanation
An appropriate first step to address physicians with low query response rates is an educational session between the clinical documentation integrity practitioner (CDIP) and physician because it provides an opportunity to explain the purpose and benefits of the query process, to identify and address any barriers or challenges to responding, and to offer feedback and guidance on how to improve query response rates. An educational session can also help to build rapport and trust between the CDIP and the physician, and to demonstrate respect and professionalism. (CDIP Exam Preparation Guide) References:
CDIP Exam Content Outline1
CDIP Exam Preparation Guide2
Understanding CDI Metrics3


NEW QUESTION # 117
Educating physicians on severity of illness and risk of mortality is best accomplished by utilizing

  • A. the case mix index
  • B. the DRG Expert
  • C. case studies
  • D. physician report cards

Answer: C

Explanation:
Explanation
Educating physicians on severity of illness and risk of mortality is best accomplished by using case studies that demonstrate how documentation affects these indicators and how they impact patient care, quality outcomes, and reimbursement.
References: AHIMA. "CDIP Exam Preparation." AHIMA Press, Chicago, IL, 2017: 97-98.


NEW QUESTION # 118
Given the following ICD-10-CM Alphabetical Index entry:
Ectopic (pregnancy) 008.9
What is the meaning of the parenthesis?

  • A. Essential modifiers
  • B. Inclusion notes
  • C. Exclusion notes
  • D. Non-essential modifiers

Answer: D


NEW QUESTION # 119
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. Inform the physician that changes must be made
  • D. Develop an administrative panel to oversee CDI process

Answer: A

Explanation:
Explanation
The director should involve the physician advisor/champion in addressing the medical staff's concerns because the physician advisor/champion is a key member of the CDI team who can provide clinical expertise, education, and leadership to promote CDI among physicians. The physician advisor/champion can help to explain the goals and benefits of CDI, such as improving patient care quality, accuracy of documentation, and appropriate reimbursement. The physician advisor/champion can also address any misconceptions or fears that the physicians may have about CDI, such as encouraging inappropriate billing or increasing their workload.
The physician advisor/champion can serve as a liaison between the CDI team and the medical staff, and foster a culture of collaboration and trust.
References:
CDIP Exam Content Outline (https://www.ahima.org/media/1z0x0x1a/cdip-exam-content-outline.pdf) CDIP Exam Preparation Guide (https://my.ahima.org/store/product?id=67077)


NEW QUESTION # 120
A patient presents to the emergency room with complaint of cough with thick yellow/greenish sputum, and generalized pain. Admitting vital signs are noted below and sputum culture performed. The patient is admitted with septicemia due to pneumonia and has received 2L of normal saline and piperacillin/ tazobactam. After all results were reviewed, on day 2, the hospitalist continued to document septicemia due to pneumonia.
White blood count BC 18,000
Temperature 101.5
Heart rate 110
Respiratory rate 24
Blood pressure 95/67
Sputum culture (+) klebsiella pneumoniae
Which diagnosis implies that a query was sent and answered?

  • A. Sepsis with pneumonia due to klebsiella pneumoniae
  • B. Septicemia due to klebsiella pneumoniae
  • C. Sepsis with respiratory failure due to pneumonia
  • D. Severe sepsis with pneumonia due to klebsiella pneumoniae

Answer: A

Explanation:
Explanation
According to the AHIMA CDIP Exam Preparation Guide, a query is a communication tool or process used to clarify documentation in the health record for documentation integrity and accurate code assignment1. A query should be clear, concise, and consistent, and should include relevant clinical indicators that support the query1. A query should also provide multiple choice answer options that are supported by clinical indicators and include a non-leading query statement2. In this case, the patient presents with signs and symptoms of sepsis, such as fever, tachycardia, tachypnea, hypotension, and elevated white blood count. The patient also has a positive sputum culture for klebsiella pneumoniae, which is the likely source of infection. However, the hospitalist continues to document septicemia due to pneumonia, which is a vague and outdated term that does not reflect the patient's true severity of illness, risk of mortality, or reimbursement3. Therefore, a query to the hospitalist to clarify the diagnosis of sepsis and its etiology is appropriate and compliant. The diagnosis that implies that a query was sent and answered is B. Sepsis with pneumonia due to klebsiella pneumoniae. This diagnosis is more specific and accurate than septicemia due to pneumonia, as it indicates the type of infection (sepsis), the site of infection (pneumonia), and the causal organism (klebsiella pneumoniae). This diagnosis also affects the assignment of DRGs and quality scores. The other options are not correct because they either do not provide enough specificity , or they introduce additional diagnoses that are not supported by the clinical indicators (A and D). References:
CDIP Exam Preparation Guide - AHIMA
Guidelines for Achieving a Compliant Query Practice (2019 Update) - AHIMA Q&A: Three query opportunities related to sepsis infections | ACDIS
[Q&A: Clinical validation of sepsis and clinical criteria | ACDIS]


NEW QUESTION # 121
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