Free AHIMA CDIP Exam Dumps Questions & Answers

A key physician approaches the director of the coding department about the new emphasis associated with clinical documentation integrity (CDI). The physician does not support the program and believes the initiative will encourage inappropriate billing.
How should the director respond to the concerns?

• A.  Refer the physician to the finance department to discuss required billing changes
• B.  Involve the physician advisor/champion in addressing the medical staff's concerns
• C.  Develop an administrative panel to oversee CDI process
• D.  Inform the physician that changes must be made

A patient's progress note states "The patient has chronic systolic heart failure". After reviewing clinical indicators suggestive of an exacerbation of systolic heart failure, the clinical documentation integrity practitioner (CDIP) queries the physician to clarify the current acuity of the diagnosis. Which subsequent documentation in the health record suggests the provider did not understand the query?

• A.  The patient has decompensated systolic heart failure.
• B.  The patient did have an exacerbation of heart failure.
• C.  The patient has chronic systolic heart failure.
• D.  The patient has acute on chronic systolic heart failure.

A noncompliant query includes querying the provider regarding

• A.  morbid obesity due to BMI of 40.9 documented on the history and physical
• B.  acute blood loss anemia due to low hemoglobin treated with iron supplements
• C.  sepsis that was present on admission because sepsis was only documented in the discharge summary
• D.  gram-negative pneumonia on every pneumonia case, regardless of documented clinical indicators

Proposed changes to the inpatient prospective payment system (IPPS) take effect on

• A.  January 1
• B.  July 1
• C.  April 1
• D.  October 1

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