Last Updated: Aug 22, 2026
No. of Questions: 140 Questions & Answers with Testing Engine
Download Limit: Unlimited
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| Section | Weight | Objectives |
|---|---|---|
| Research & Education | 11–15% | - Provider and staff education - Best practice research and implementation - Regulatory and guideline updates - Documentation improvement training materials |
| Clinical Coding Practice | 22–26% | - Principal and secondary diagnosis identification - ICD-10-CM/PCS coding conventions and guidelines - Coding software and reference resources - DRG, CPT, and HCPCS code assignment - Payer requirements and reimbursement models |
| Compliance | 4–8% | - Compliance monitoring and reporting - AHIMA standards and regulatory requirements - Fraud and abuse prevention - Legal and ethical documentation practices |
| Leadership | 17–22% | - Policy and procedure creation - Interdisciplinary collaboration - Provider engagement and communication - CDI program development and promotion |
| Record Review & Document Clarification | 24–28% | - Query tracking and follow-up - Identify documentation gaps and specificity issues - POA, HAC, SOI, ROM clarification - Ethical provider query development - Compliance with query standards |
| CDI Metrics & Statistics | 14–18% | - Benchmarking and reporting - Quality audits and compliance monitoring - Query response and volume tracking - DRG comparison and denial analysis |
1. What type of laboratory test is a creatinine test?
A) Microbiology
B) Serology
C) Chemistry
D) Hematology
2. A clinical documentation integrity practitioner (CDIP) generates a concurrent query and continues to follow retrospectively; however, the coder releases the bill before the query is answered. The CDIP wonders if it is appropriate to re-bill the account if the physician answers the query after the bill has dropped. Which policy should the hospital follow to avoid a compliance risk?
A) A rebilling is permissible when queries are answered after the initial bill.
B) A post-bill query rarely occurs as a result of an audit or other internal monitor.
C) A second bill should not be submitted when the first bill was incomplete.
D) A post bill query is not appropriate when an error is found after an audit.
3. What type of query may NOT be used in circumstances where only clinical indicators of a condition are present, and the condition/diagnosis has not been documented in the health record?
A) Verbal
B) Open-ended
C) Yes/No
D) Multiple-choice
4. A query should include
A) the impact of reimbursement
B) relevant clinical indicators
C) information from previous encounters
D) the impact on quality
5. Which of the following committees should determine the chain of comnfand that will be used to manage physicians who are either unresponsive or uncooperative with the clinical documentation integrity (CDI) program?
A) Compliance
B) Oversight
C) Operations
D) Communications
Solutions:
| Question # 1 Answer: C | Question # 2 Answer: A | Question # 3 Answer: C | Question # 4 Answer: B | Question # 5 Answer: B |
Cheryl
Erica
Isabel
Liz
Naomi
Roxanne
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