CDIP Practice Test

CDIP Practice Test practice questions, page 5 of 6, with answer review and explanations.

Question 21

Hospital policy states that physician responses to queries should be no longer than timely payer filing requirements. A physician responds to a query after the final bill has been submitted. How should administration respond in this situation?

  1. Maintain the original billing as supported by documentation in the medical record
  2. Evaluate the payer’s timeframe for billing and reasons for the physician's delayed response
  3. Review the record to determine any potential data integrity impact and/or rebilling implications
  4. Report the physician’s delayed response to the Ethics and Compliance Committee

Question 22

A patient has a history of asthma and presents with complaints of fever, cough, general body aches, and lethargy. The patient’s child was recently diagnosed with influenza. Wheezing is heard on exam. The physician documents the diagnosis as asthma exacerbation and orders nebulizer treatments of Albuterol and a 5-day course of oral Prednisone. The clinical documentation integrity practitioner (CDIP) is unsure which signs and symptoms are inherent to asthma. Which reference resource should be used to obtain this information?

  1. Physician’s Desk Reference
  2. AMA CPT Assistant
  3. The Merck Manual
  4. Medical Dictionary

Question 23

A patient falls off a ladder and undergoes a right femur procedure. Three weeks later, the patient returns to the hospital for removal of the external fixation device. The ICD-10-CM 7th character code value should indicate

  1. initial
  2. sequela
  3. aftercare
  4. subsequent

Question 24

A clinical documentation integrity (CDI) program that is compliant with regulations from the facility’s payors results in

  1. meeting external benchmarks
  2. less risk from audits
  3. need for more CDI staff
  4. higher overall program cost

Question 25

The clinical documentation integrity (CDI) metrics recently showed a drastic drop in the physician query rate. What might this indicate to the CDI manager?

  1. The loss of a large volume of patients has impacted workflow
  2. CDI staff need education on identifying query opportunities
  3. The program is successful because documentation has improved
  4. The decrease in hospital census has caused a lack of query opportunities