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Valid Exam AHIMA CDIP Braindumps, Clear CDIP Exam

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AHIMA Certified Documentation Integrity Practitioner Sample Questions (Q59-Q64):

NEW QUESTION # 59
A clinical documentation integrity (CDI) program that is compliant with regulations from the facility's payors results in

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

Answer: C

NEW QUESTION # 60
Based on the flowchart below, at what point might the clinical documentation integrity practitioner (CDIP) enlist the help of the physician advisor/champion?

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

Answer: B

NEW QUESTION # 61
Patient is admitted with oliguria, pulmonary edema, and dehydration. Labs are remarkable for an elevated creatinine of 2.4, with a baseline of 1.1. Patient was hydrated for 48 hours with drop in creatinine. What would the appropriate action be?

A. Query the physician to see if acute renal failure is clinically supported
B. No query is needed because the patient was dehydrated
C. Query the physician to see if acute renal failure with tubular necrosis is supported
D. Code acute renal failure since symptoms are there and documented

Answer: A

Explanation:
Explanation
The appropriate action in this case is to query the physician to see if acute renal failure is clinically supported.
This is because the patient has signs and symptoms of acute renal failure, such as oliguria, pulmonary edema, and elevated creatinine, but the diagnosis is not documented in the medical record. Acute renal failure is a clinical syndrome characterized by a rapid decline in kidney function and accumulation of metabolic waste products. It can be caused by various factors, such as dehydration, hypovolemia, sepsis, nephrotoxins, or obstruction. Acute renal failure can be classified according to the RIFLE criteria (Risk, Injury, Failure, Loss, End-stage kidney disease) or the AKIN criteria (Acute Kidney Injury Network), which are based on changes in serum creatinine and urine output 23. A query to the physician is needed to confirm or rule out the diagnosis of acute renal failure, specify the etiology and severity of the condition, and document any associated complications or comorbidities. A query to the physician will also improve the accuracy and completeness of the documentation and coding, and reflect the true clinical picture and resource utilization of the patient.
References: 1: AHIMA CDIP Exam Prep, Fourth Edition, p. 133 4 2: Acute Kidney Injury: Diagnosis and Management | AAFP 3: AKIN Classification for Acute Kidney Injury (AKI) - MDCalc

NEW QUESTION # 62
A modifier may be used in CPT and/or HCPCS codes to indicate

A. a service or procedure was performed in its entirety
B. a service or procedure was increased or reduced
C. a service or procedure resulted in expected outcomes
D. a service or procedure was performed by one provider

Answer: B

Explanation:
Explanation
According to the AHIMA CDIP Exam Preparation Guide, a modifier is a two-digit numeric or alphanumeric code that may be used in CPT and/or HCPCS codes to indicate that a service or procedure has been altered by some specific circumstance, but not changed in its definition or code1. One of the reasons to use a modifier is to indicate that a service or procedure was increased or reduced in comparison to the usual service or procedure2. For example, modifier 22 can be used to report increased procedural services that require substantially greater time, effort, or complexity than the typical service3. The other options are not correct because they do not reflect the purpose of using modifiers. A service or procedure performed in its entirety does not need a modifier, as it is assumed to be the standard service or procedure. A service or procedure resulting in expected outcomes does not affect the coding or reimbursement of the service or procedure. A service or procedure performed by one provider may need a modifier depending on the type of provider, the place of service, and the payer rules, but it is not a general reason to use a modifier. References:
CDIP Exam Preparation Guide - AHIMA
Modifiers: A Guide for Health Care Professionals - CMS
CPT Modifiers: 22 Increased Procedural Services | AAPC

NEW QUESTION # 63
AHIMA suggests which of the following for an organization to consider as physician response rate and agreement rate?

A. 80%/80%
B. 75%/75%
C. 70%/50%
D. 80%/40%

Answer: A

Explanation:
Explanation
AHIMA suggests that an organization should consider a physician response rate of 80% and an agreement rate of 80% as benchmarks for CDI program performance. These rates indicate the level of physician engagement and documentation accuracy in relation to CDI queries.
References: AHIMA. "Guidelines for Achieving a Compliant Query Practice (2019 Update)." Journal of AHIMA 90, no. 2 (February 2019): 20-29.

NEW QUESTION # 64
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