| Exam Code/Number: | CDIPJoin the discussion |
| Exam Name: | Certified Documentation Integrity Practitioner |
| Certification: | AHIMA |
| Question Number: | 140 |
| Publish Date: | Jul 14, 2026 |
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Rating
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What policies should query professionals follow?
The clinical documentation integrity (CDI) manager has noted a query response rate of 60%. The CDI practitioner reports that physicians often respond verbally to the query. What can be done to improve this rate?
A 94-year-old female patient is admitted with altered mental status and inability to move the left side of her body. She is diagnosed with a cerebral vascular accident with left sided weakness. The patient is ambidextrous, but the physician does not specify the predominance of the affected side. The default code is
A 70-year-old severely malnourished nursing home patient is admitted for a pressure ulcer covered by eschar on the right hip. The provider is queried to clarify the stage of the pressure ulcer. Because the wound has not been debrided, the provider responds "unable to determine".
How will the stage of this pressure ulcer be coded?
A query should be generated when the documentation is
May 28, 2024
Apr 28, 2024