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AHIMA Certified Documentation Integrity Practitioner Sample Questions:

1. Tracking denials within the clinical documentation integrity program is important to

A) identify documentation improvement opportunities and educate as necessary
B) file a timely appeal if the medical center disagrees with the RAC findings
C) determine coding inaccuracies and educate as necessary
D) confirm reimbursement was appropriate

2. Which of the following sources provide external benchmarks to examine the effectiveness of a facility's clinical documentation program?

A) Health Care Financing Administration
B) American Health Information Management Association
C) Medicare Provider Analysis and Review
D) Agency for Healthcare Research and Quality

3. A patient is admitted for chronic obstructive pulmonary disease (COPD) exacerbation. The patient is on 3L of home oxygen and is treated during admission with 3L of oxygen. The most appropriate action is to

A) query the provider to see if respiratory insufficiency is supported by the health record
B) query the provider to see if chronic respiratory failure is supported by the health record
C) query the provider to see if acute on chronic respiratory failure is supported by the health record
D) code the diagnoses of COPD exacerbation and chronic respiratory failure

4. When a change in departmental workflow is necessary, the first step is to

A) define the gaps and solutions
B) set realistic timelines
C) re-engineer the process
D) assess the current workflow

5. Which of the following indicates a noncompliant multiple-choice query? One that does NOT

A) list options in alphabetical order
B) allow the provider to add their own response
C) include the option of "unable to determine"
D) include at least four options

Solutions: