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AHIMA Certified Documentation Integrity Practitioner Sample Questions (Q82-Q87):

NEW QUESTION # 82
Which factors are important to include when refocusing the primary vision of a clinical documentation integrity (CDI) program?

A. Value and mission statements
B. Diagnostic related groups and revenue cycle
C. Reporting and the use of technology
D. Benchmarks and case mix index

Answer: A

Explanation:
Explanation
A CDI program's vision should reflect its purpose, values, and goals, and align with the organization's overall vision and mission. Value and mission statements help define the CDI program's role, scope, and objectives, and communicate them to stakeholders. Reporting and the use of technology are important tools for a CDI program, but they are not part of its vision. Benchmarks and case mix index are performance indicators that measure the CDI program's outcomes, but they do not reflect its vision. Diagnostic related groups and revenue cycle are aspects of reimbursement that may be affected by the CDI program, but they are not the primary focus of its vision.

NEW QUESTION # 83
When benchmarking with outside organizations, the clinical documentation integrity practitioner (CDIP) must determine if the organization is benchmarking with which of the following criteria?

A. Hospital within its region
B. Hospital within its state
C. Hospitals that are its peers
D. Hospital within its county

Answer: C

Explanation:
Explanation
When benchmarking with outside organizations, the clinical documentation integrity practitioner (CDIP) must determine if the organization is benchmarking with hospitals that are its peers because peer hospitals have similar characteristics such as size, location, teaching status, case mix index, and payer mix. Benchmarking with peer hospitals allows for a more accurate and meaningful comparison of performance indicators and outcomes. (CDIP Exam Preparation Guide) References:
CDIP Exam Content Outline1
CDIP Exam Preparation Guide2

NEW QUESTION # 84
Creating policies and procedures for the query process will help eliminate

A. risk
B. confusion
C. indecision
D. duplication

Answer: B

Explanation:
Explanation
Creating policies and procedures for the query process will help eliminate confusion among CDI staff, providers, coders, and other stakeholders regarding the purpose, scope, format, and expectations of the query process. Policies and procedures should be based on industry standards and best practices, and should be reviewed and updated regularly.
References: AHIMA/ACDIS. "Guidelines for Achieving a Compliant Query Practice (2019 Update)." Journal of AHIMA 90, no. 2 (February 2019): 20-29.

NEW QUESTION # 85
Which of the following should an organization consider when developing a query retention policy and procedure?

A. Who should be queried
B. How the query will be formatted
C. If the query is considered part of the health record
D. What the escalation process will be

Answer: C

Explanation:
Explanation
One of the factors that an organization should consider when developing a query retention policy and procedure is if the query is considered part of the health record or not. According to the AHIMA/ACDIS query practice brief1, a query is considered part of the health record if it meets any of the following criteria:
It is used to clarify documentation that affects code assignment or other data elements It is used to support clinical validation of a diagnosis or procedure It is used to support medical necessity or quality indicators It is used to communicate clinical information between providers If a query is part of the health record, it should be retained according to the organization's health record retention policy and procedure, which should comply with federal, state, and local laws and regulations. The query retention policy and procedure should also address issues such as:
The format and location of the query (e.g., paper, electronic, hybrid)
The security and confidentiality of the query
The accessibility and availability of the query
The ownership and custodianship of the query
The legal implications and evidentiary value of the query
References:
CDIP Exam Content Outline (https://www.ahima.org/media/1z0x0x1a/cdip-exam-content-outline.pdf) Guidelines for Achieving a Compliant Query Practice-2022 Update1

NEW QUESTION # 86
The best approach in resolving unanswered queries is to

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

Answer: D

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 # 87
......

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Rick Davis Rick Davis

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