Free AHIMA CDIP Exam Dumps Questions & Answers

A 56-year-old male patient complains of feeling fatigued, has nausea & vomiting, swelling in both legs.
Patient has history of chronic kidney disease (CKD) stage III,
coronary artery disease (CAD) & hypertension (HTN). He is on Lisinopril. Vital signs: BP 160/80, P 84, R 20, T 100.OF. Labs: WBC 11.5 with 76% segs, GFR 45. CXR showed slight left lower lobe haziness. Patient was admitted for acute kidney injury (AKI) with acute tubular necrosis (ATN). He was scheduled for hemodialysis the next day. Two days after admission patient started coughing, fever of 101.8F, CXR showed left lower lobe infiltrate, possible pneumonia. Attending physician documented that patient has pneumonia and ordered Rocephin IV. How should the clinical documentation integrity practitioner (CDIP) interact with the physician to clarify whether or not the pneumonia is a hospital-acquired condition (HAC)?

• A.  Dr. Adair, in your clinical opinion, do you think that the patient's acute kidney injury with ATN exacerbated the patient's pneumonia?
• B.  No need to interact with the physician because it is obvious the pneumonia developed after admission, therefore, not present on admission.
• C.  Dr. Adair, please indicate if the patient's pneumonia was present on admission (POA) based on the initial chest x-ray?
• D.  No need to query the physician because even if the pneumonia is considered a HAC and cannot be used as an MCC, ATN is also an MCC.

Besides the physician advisor/champion, who should be included as a key stakeholder in the clinical documentation integrity (CDI) steering committee to promote CDI initiatives?

• A.  Manager of HIM/Coding
• B.  Director of Risk Management
• C.  Manager of Surgical Services
• D.  Director of Informatics

Which member of the clinical documentation integrity (CDI) team can help provide peer-to-peer level of education on the importance of accurate documentation and query responses?

• A.  Chief Financial Officer
• B.  Physician advisor/champion
• C.  CDI manager
• D.  CDI practitioner

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.  non-dominant
• B.  preferred
• C.  dominant
• D.  ambidextrous

The provider was queried because the patient met clinical criteria for acute hypoxic respiratory failure. The response to the query was different than what was expected by the clinical documentation integrity practitioner (CDIP). What should the CDIP do?

• A.  Implement the department's escalation process
• B.  Record the query response as disagreed
• C.  Have a different CDIP query the provider
• D.  Revise the query and send it back to the provider