AHIMA CDIP real exam prep : Certified Documentation Integrity Practitioner

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AHIMA CDIP Exam Syllabus Topics:

AHIMA Certified Documentation Integrity Practitioner Sample Questions:

1. Which of the following is the definition of an Excludes 2 note in ICD-10-CM?

A) Two codes can be used together to completely describe the condition
B) Only one code can be assigned to completely describe the condition
C) This is not a convention found in ICD-10-CM
D) Neither of the codes can be assigned

2. A patient falls off a ladder and undergoes a right femur procedure. Three weeks later, the patient returns to the hospital for removal of the external fixation device. The ICD-10-CM 7th character code value should indicate

A) aftercare
B) subsequent
C) initial
D) sequela

3. A 27-year-old male patient presents to the emergency room with crampy, right lower quadrant abdominal pain, a low-grade fever (101° Fahrenheit) and vomiting. The patient also has a history of type I diabetes mellitus. A complete blood count reveals mild leukocytosis (13,000/microliter). Abdominal ultrasound is ordered, and the patient is admitted for laparoscopic surgery. The patient is given an injection of neutral protamine Hagedorn insulin, in order to normalize the blood sugar level prior to surgery. Upon discharge, the attending physician documents "right lower quadrant abdominal pain due to possible acute appendicitis or probable Meckel diverticulitis".
What is the proper sequencing of the principal and secondary diagnoses?

A) Right lower quadrant abdominal pain, fever, vomiting, leukocytosis
B) Acute appendicitis, right lower quadrant abdominal pain, type I diabetes mellitus
C) Acute appendicitis, Meckel diverticulitis, type I diabetes mellitus
D) Right lower quadrant abdominal pain, acute appendicitis, Meckel diverticulitis, fever, vomiting, leukocytosis

4. A clinical documentation integrity practitioner (CDIP) is looking for clarity on whether a diagnosis has been
"ruled in" or "ruled out". Which type of query is the best option?

A) Yes/No
B) Open-ended
C) Multiple-choice
D) None

5. Which entity has the following regulation?
A medical history and physical examination be completed and documented for each patient no more than 30 days before or 24 hours after admission or registration, but prior to surgery or a procedure requiring anesthesia services.

A) Office of Inspector General
B) Centers for Medicare & Medicaid Services
C) Office of the National Coordinator for Health Information Technology
D) Office for Civil Rights

Solutions: