AHIMA Certified Documentation Integrity Practitioner Sample Questions:

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

2. For inpatients with a discharge principal diagnosis of acute myocardial infarction, aspirin must be taken within
24 hours of arrival unless a contraindication to aspirin is
documented. How should this be documented in the health record?

A) The name of the medication (aspirin), the date, time and location where it was last administered
B) The name of the medication (aspirin) and the date it was last administered
C) The name of the medication (aspirin), the date and location where it was last administered
D) The name of the medication (aspirin), the date and time it was last administered

3. Which of the following is MOST likely to trigger a second-level review?

A) A diagnosis that impacts a quality-of-care measure
B) A record with multiple major complicating conditions (MCCs)
C) An account coded before the discharge summary is available
D) A procedure code that increases reimbursement

4. A modifier may be used in CPT and/or HCPCS codes to indicate

A) a service or procedure was performed by one provider
B) a service or procedure was performed in its entirety
C) a service or procedure resulted in expected outcomes
D) a service or procedure was increased or reduced

5. Which of the following individuals is the first line of escalation for an unanswered query?

A) Medical Director
B) HIM/Coding Manager
C) CDI Steering Committee
D) CDI Manager

Solutions: