New CDIP Exam Online | Authentic CDIP Exam Hub
New CDIP Exam Online | Authentic CDIP Exam Hub
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Individuals who pass the Certified Documentation Integrity Practitioner (CDIP) certification exam demonstrate to their employers and clients that they have the knowledge and skills necessary to succeed in the industry. PassExamDumps is aware that preparing with outdated Certified Documentation Integrity Practitioner (CDIP) study material results in a loss of time and money.
AHIMA Certified Documentation Integrity Practitioner Sample Questions (Q27-Q32):
NEW QUESTION # 27
A patient presents to the emergency department for evaluation after suffering a head injury during a fall. A traumatic subdural hematoma is found on MRI, and the patient is taken directly to the operating room for evacuation. The neurosurgeon performs a burr hole procedure for evacuation of the subdural hematoma. The clot is removed successfully, and the patient is transferred to recovery in stable condition. Which is the correct current procedural terminology (CPT) code assignment for the procedure performed?
- A. 61154 Burr hole(s) with evacuation and/or drainage of hematoma, extradural or subdural
- B. 61108 Twist drill hole(s) for subdural, intracerebral, or ventricular puncture; for evacuation and/or drainage of subdural hematoma
- C. 61105 Twist drill hole subdural/ventricular puncture
- D. 61140 Burr hole(s) or trephine; with biopsy of brain or intracranial lesion
Answer: A
Explanation:
Explanation
According to the CPT code description, 61154 is the appropriate code for a burr hole procedure for evacuation of a subdural hematoma. A burr hole is a small hole made in the skull with a surgical drill to access the brain or its coverings2. A subdural hematoma is a collection of blood between the dura mater and the arachnoid mater, which are two of the three layers that cover the brain3. The evacuation of the hematoma involves removing the clot and relieving the pressure on the brain. The other codes are not applicable for this procedure because they describe different methods of access (twist drill hole) or different purposes (biopsy or puncture)4.
References:
CDI Week 2020 Q&A: CDI and key performance indicators1
Mayo Clinic: Burr hole2
MedlinePlus: Subdural hematoma3
CPT Code Book 20234
NEW QUESTION # 28
After one year, the clinical documentation integrity (CDI) program has become stagnant, and the manager plans to reinvigorate the program to better reflect the CDI efforts in the organization. What can the manager do to ensure program success?
- A. Identify key metrics to develop program measures for coders
- B. Expand the CDI program to larger areas in outpatient clinics
- C. Establish a CDI steering committee to build a strong foundation
- D. Prioritize to focus on efforts with the largest return on investment
Answer: C
Explanation:
Explanation
A CDI steering committee is a group of interdisciplinary leaders who oversee and guide the CDI program's objectives, outcomes, and metrics. The committee should include representatives from finance, clinical, coding, quality, and other areas that are impacted by CDI. The committee should meet regularly to review the CDI program's performance, identify opportunities for improvement, and provide support and education to the CDI staff and providers. A CDI steering committee can help reinvigorate a stagnant CDI program by ensuring that it aligns with the organization's vision and mission, addresses the current challenges and needs, and fosters collaboration and communication among stakeholders. The other options are not necessarily effective ways to reinvigorate a CDI program. Expanding the CDI program to larger areas in outpatient clinics may not be feasible or appropriate without a clear strategy and plan. Prioritizing to focus on efforts with the largest return on investment may not reflect the true value and quality of the CDI program. Identifying key metrics to develop program measures for coders may not capture the full scope and impact of the CDI program.
NEW QUESTION # 29
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. CDI practitioner
- C. Physician advisor/champion
- D. CDI manager
Answer: C
Explanation:
Explanation
The member of the clinical documentation integrity (CDI) team who can help provide peer-to-peer level of education on the importance of accurate documentation and query responses is the physician advisor/champion. The physician advisor/champion is a physician who supports and advocates for the CDI program and its goals, and who can communicate effectively with other physicians about the clinical and financial implications of documentation quality and accuracy. The physician advisor/champion can also serve as a liaison between the CDI team and the medical staff, and help to resolve any issues or conflicts that may arise from the query process. The physician advisor/champion can also provide feedback and guidance to the CDI team on clinical matters and documentation standards. (CDIP Exam Preparation Guide) References:
CDIP Exam Content Outline1
CDIP Exam Preparation Guide2
NEW QUESTION # 30
A query should include
- A. the impact on quality
- B. the impact of reimbursement
- C. information from previous encounters
- D. relevant clinical indicators
Answer: D
Explanation:
Explanation
A query should include relevant clinical indicators from the health record that support the need for clarification and the query options. Clinical indicators are objective and measurable signs, symptoms, laboratory results, diagnostic test results, medications, treatments, and other documented findings that are related to a specific diagnosis or condition. Information from previous encounters, the impact on quality, and the impact of reimbursement are not appropriate to include in a query, as they may introduce bias, lead the provider, or imply a desired response.
NEW QUESTION # 31
Whether or not queries should be kept as a permanent part of the medical record is decided by
- A. organizational policy
- B. federal law
- C. physician preference
- D. state law
Answer: A
Explanation:
Explanation
According to the AHIMA/ACDIS Query Practice Brief, whether or not queries should be kept as a permanent part of the medical record is decided by the organizational policy of each facility1. There is no federal or state law that mandates the retention of queries in the medical record, although some external reviewers may request copies of queries to validate the query wording and compliance2. Physician preference is not a valid factor in determining the query retention policy, as queries should be handled consistently across the organization3. Therefore, the correct answer is D. organizational policy. References:
Guidelines for Achieving a Compliant Query Practice (2019 Update) - AHIMA Q&A: Develop policies regarding query retention | ACDIS Q&A: Keep query retention policies consistent | ACDIS
NEW QUESTION # 32
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