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CDIP PDF + Testing Engine



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  • Exam Name: Certified Documentation Integrity Practitioner
  • Last Update: 10-Dec-2023
  • Questions and Answers: 140
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CDIP Questions and Answers

Question # 1

A 45-year-old female is admitted after sustaining a femur fracture. Orthopedics is consulted and performs an open reduction internal fixation (ORIF) of the femur

without complication. Nursing documents the patient has a body mass index of 42 kg/m2. The clinical documentation integrity practitioner (CDIP) determines a query is

needed to capture a diagnosis associated with the body mass index so it can be reported. Which of the following is the MOST compliant query based on the most recent

AHIIMA/ACDIS query practice brief?


Nursing documents the BMI is 42 kg/m2. In order to capture a co-morbid condition (CC) to increase reimbursement, please add 'morbid obesity with BMI 42

kg/m2' to your next progress note.


Nursing documents the BMI is 42 kg/m2. To increase the severity of illness and risk of mortality, please add 'morbid obesity with BMI 42 kg/m2' to your next

progress note.


Nursing documents the BMI is 42 kg/m2. Can you please clarify if the patient's morbid obesity was present on admission and add the diagnosis to future progress



Nursing documents the BMI is 42 kg/m2. Please consider if any of the following diagnoses should be added to the health record to support this finding: morbid

obesity; obesity; other diagnosis (please state)

Question # 2

A hospital administrator has hired a clinical documentation integrity (CDI) firm to improve its revenue objectives. The physicians object to this action. How should the firm collaborate with physicians to overcome their objections?


Create a vision statement that outlines the project objectives


Communicate the benefits of the CDI firm about the project


Hire a consultant to communicate the benefits to the physicians


Identify an influential physician advisor/champion to promote support

Question # 3

What is the term used when a patient is entered in the Master Patient Index (MPI) multiple times, in different ways, resulting in multiple medical record numbers?









Question # 4

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?


Queries are limited to non-leading questions


Non-responses to written queries are grounds for discipline


Primary care physicians must answer written queries


Queries for illegible chart notes are unnecessary

Question # 5

A patient presents to the emergency room with acute shortness of breath. The patient has a history of lung cancer that has been treated previously with radiation and

chemotherapy. The patient is intubated and placed on mechanical ventilation. A chest x-ray is remarkable for a pleural effusion. A thoracentesis is performed, and the

cytology results show malignant cells. Diagnoses on discharge: Acute respiratory failure due to recurrence of small cell carcinoma and malignant pleural effusion. Which

coding reference takes precedence for assigning the ICD-10-CM/PCS codes?


Conventions and instructions of the classification for ICD-10-CM/PCS


AMA CPT Assistant


AHA Coding Clinic for ICD-10-CM/PCS


ICD-10-CM Official Guidelines for Coding and Reporting

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