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AHIMA Certified Documentation Integrity Practitioner Sample Questions:

1. Which of the following may make physicians lose respect for clinical documentation integrity (CDI) efforts and disengage?

A) Providing many lectures, newsletters, tip sheets, and pocket cards for physician education
B) Inconsistent clinically relevant queries
C) CDI practitioners sending multiple queries to hospitalist physicians
D) The physician advisor/champion's interventions with noncompliant physicians

2. Which of the following should be examined when developing documentation integrity projects?

A) Query rates from coding staff
B) Physician satisfaction surveys
C) CC and MCC capture rates
D) Coding productivity statistics

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

4. Which of the following is nonessential to facilitate code capture when educating clinical staff on documentation practices associated with diabetes mellitus?

A) Cause
B) Type
C) Manifestation
D) Age

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

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