Quiz Accurate CDIP - Certified Documentation Integrity Practitioner Reliable Exam Materials

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AHIMA Certified Documentation Integrity Practitioner Sample Questions (Q129-Q134):

NEW QUESTION # 129
Based on the flowchart below, at what point might the clinical documentation integrity practitioner (CDIP) enlist the help of the physician advisor/champion?

A. E - Physician agrees with query and documents in MR
B. D - No retrospective query opportunity identified
C. C - Retrospective query opportunity identified
D. H - Physician fails to respond tocquery

Answer: D

NEW QUESTION # 130
The physician advisor/champion needs to provide ongoing education regarding coding and reimbursement regulations to the

A. Health Information Management coding staff
B. clinical documentation integrity staff
C. organization senior administration staff
D. organization's medical and surgical staff

Answer: D

Explanation:
Explanation
The physician advisor/champion is a key role in the CDI program who serves as a liaison between the CDI staff and the organization's medical and surgical staff. The physician advisor/champion needs to provide ongoing education regarding coding and reimbursement regulations to the organization's medical and surgical staff to promote awareness, understanding, and compliance with CDI initiatives and goals.
References: AHIMA. "CDIP Exam Preparation." AHIMA Press, Chicago, IL, 2017: 97-98.

NEW QUESTION # 131
The best approach in resolving unanswered queries is to

A. review the facility's query policies and procedures
B. contact the physician repeatedly until he/she responds to the query
C. notify the physician advisor/champion that the physician has not responded to the query
D. notify the coding team of the physician's unanswered query

Answer: A

Explanation:
Explanation
facilities must develop an escalation policy for unanswered queries and address any medical staff concerns regarding queries1. If a query does not receive an appropriate professional response, the case should be referred for further review in accordance with the facility's written escalation policy2. The escalation policy should address when the issue is brought to the physician advisor, the department director, or administration with defined actions as to the responsibilities at each level1. The policies should reflect a method of response that can realistically occur for the organization1. Therefore, reviewing the facility's query policies and procedures is the best approach to ensure compliance and consistency in handling unanswered queries.
The other options are not advisable because they either involve skipping the escalation policy, notifying the physician advisor/champion without proper review or feedback, contacting the physician repeatedly without respecting their time or availability, or notifying the coding team without resolving the query issue.

NEW QUESTION # 132
A clinical documentation integrity (CDI) program that is compliant with regulations from the facility's payors results in

A. higher overall program cost
B. need for more CDI staff
C. less risk from audits
D. meeting external benchmarks

Answer: C

NEW QUESTION # 133
A 50-year-old with a history of stage II lung cancer is brought to the emergency department with severe dyspnea. The patient underwent the last round of chemotherapy
3 days ago. Vital signs reveal a temperature of 98.4, a heart rate of 98, a respiratory rate of 28, and a blood pressure of 124/82. O2 saturation on room air is 92%. The patient is 5'5"and weighs 98 lbs. The registered dietitian notes the patient is malnourished with BMI of 19.
Chest x-ray reveals a large pleural effusion in the right lung.
Thoracentesis is performed and 1000 cc serosanguinous fluid is removed. The admitting diagnosis is large right lung pleural effusion related to lung cancer stage II, documented multiple times. What post discharge query opportunity should be sent to the physician that will affect severity of illness (SOI)/risk of mortality (ROM)?

A. Query for a diagnosis associated with the dietician's finding of malnutrition
B. Query if the malignant pleural effusion is the reason for admission
C. Query for protein calorie malnutrition
D. Query for malignant pleural effusion

Answer: D

Explanation:
Explanation
According to the AHIMA CDIP Exam Preparation Guide, a query is a communication tool or process used to clarify documentation in the health record for documentation integrity and accurate code assignment1. A query should be clear, concise, and consistent, and should include relevant clinical indicators that support the query1. A query should also provide multiple choice answer options that are supported by clinical indicators and include a non-leading query statement2. In this case, the patient has a large right lung pleural effusion related to lung cancer stage II, which is documented multiple times. However, the documentation does not specify whether the pleural effusion is malignant or not. A malignant pleural effusion is a condition where cancer cells spread to the pleural space and cause fluid accumulation3. A malignant pleural effusion is a major complication or comorbidity (MCC) that affects the severity of illness (SOI) and risk of mortality (ROM) of the patient, as well as the reimbursement and quality scores of the hospital4. Therefore, a post discharge query opportunity should be sent to the physician to clarify whether the pleural effusion is malignant or not, based on the clinical indicators such as chest x-ray, thoracentesis, and fluid analysis. The query should provide answer options such as malignant pleural effusion, non-malignant pleural effusion, unable to determine, or other. The other options are not correct because they either do not affect the SOI/ROM of the patient (A and C), or they do not address the specificity of the diagnosis (D). References:
CDIP Exam Preparation Guide - AHIMA
Guidelines for Achieving a Compliant Query Practice (2019 Update) - AHIMA Malignant Pleural Effusion: Symptoms, Causes, Diagnosis & Treatment Q&A: Coding for malignant pleural effusions | ACDIS

NEW QUESTION # 134
......

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Quiz Accurate CDIP - Certified Documentation Integrity Practitioner Reliable Exam Materials

VCE CDIP Exam Simulator & Exam CDIP Book

AHIMA Certified Documentation Integrity Practitioner Sample Questions (Q129-Q134):

2025 CDIP: Certified Documentation Integrity Practitioner High Hit-Rate Reliable Exam Materials

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