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AHIMA Certified Documentation Integrity Practitioner Sample Questions:

1. AHIMA suggests which of the following for an organization to consider as physician response rate and agreement rate?

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

2. A hospital is conducting a documentation integrity project for the purpose of reducing indiscriminate use of electronic copy and paste of patient information in records by physicians. Which data should be used to quantify the extent of the problem?

A) Results of a survey of physicians that asks about documentation practices
B) Percent of insurance billings denied due to lack of record documentation
C) Number of coder queries regarding inconsistent physician record documentation
D) Incidence of redundancies in physician notes in a sample of hospital admissions

3. Automated registration entries that generate erroneous patient identification-possibly leading to patient safety and quality of care issues, enabling fraudulent activity involving patient identity theft, or providing unjustified care for profit-is an example of a potential breach of:

A) Documentation integrity
B) Authorship integrity
C) Patient identification and demographic accuracy
D) Auditing integrity

4. Which of the following is an example of a hospital-acquired condition when not present on admission?

A) Iatrogenic pneumothorax with lung biopsy
B) Iatrogenic pneumothorax with venous catheterization
C) Pressure ulcer stage II
D) Pressure ulcer stage III

5. Which entity has the following regulation?
A medical history and physical examination be completed and documented for each patient no more than 30 days before or 24 hours after admission or registration, but prior to surgery or a procedure requiring anesthesia services.

A) Office for Civil Rights
B) Office of Inspector General
C) Centers for Medicare & Medicaid Services
D) Office of the National Coordinator for Health Information Technology

Solutions: