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Documentation Integrity Practitioner (CDI) Certified Documentation Integrity Practitioner

Certified Documentation Integrity Practitioner

Last Update Jan 30, 2026
Total Questions : 140

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Questions 2

Whether or not queries should be kept as a permanent part of the medical record is decided by

Options:

A.  

physician preference

B.  

state law

C.  

federal law

D.  

organizational policy

Discussion 0
Questions 3

Which of the following is the definition of an Excludes 2 note in ICD-10-CM?

Options:

A.  

Neither of the codes can be assigned

B.  

Two codes can be used together to completely describe the condition

C.  

Only one code can be assigned to completely describe the condition

D.  

This is not a convention found in ICD-10-CM

Discussion 0
Questions 4

Several physicians at a local hospital are having difficulty providing adequate documentation on patients admitted with a diagnosis of pneumonia with or without clinical

indications of gram-negative pneumonia. Subsequently, clinical documentation integrity practitioners (CDIPs) are altering health records. Which policy and procedure

should be developed to ensure compliant practice?

Options:

A.  

Professional ethical standards

B.  

Accreditation standards

C.  

Performance standards

D.  

Quality improvement standards

Discussion 0
Questions 5

A clinical documentation integrity practitioner (CDIP) in an acute care hospital was asked to create new query templates for ICD-10 based on AHIMA and ACDIS

guidelines. What should the multiple-choice query format include?

Options:

A.  

Clinically insignificant options

B.  

Impact on reimbursement

C.  

Clinically unsupported diagnosis

D.  

Clinically significant options

Discussion 0
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