CDIP PRACTICE EXAM 1 2025 WITH ACTUAL
CORRECT QUESTIONS AND VERIFIED
DETAILED RATIONALES ANSWERS
|FREQUENTLY TESTED QUESTIONS AND
SOLUTIONS |ALREADY GRADED A+|LATEST
UPDATE|GUARANTEED PASS
The work and activities of the CDI professional should be tracked and monitored with a:
a.Report
b.Manager
c.Quality assurance (QA) audit tool
d.Performance improvement tool
c Monitoring a program can be vital for any process. Utilizing a Quality Assurance (QA) audit
tool can ensure compliance and program success. (AHIMA 2014a, 6).
Suggested key competencies for the CDI professional include all of the following except:
a.Communication skills
b.Leadership skills
c.Persuasive personality
d.Team player
c Finding the right person to be a part of a team can be difficult. Suggested key competencies
for a CDI professional can include:
•Financial knowledge
•Clinical knowledge
•Coding skills
•Years of experience
•Interpersonal skills
•Communication skills
•Leadership skills
•Team player
•Organizational skills
1|Page
,Leaders may utilize this to view and report outcomes measures; sometimes called Scorecard:
a.Snapshot
b.Dashboard
c.Score report
d.Query card
b Scorecards are reports of outcomes measures to help leaders know what they have
accomplished; Also called dashboards (AHIMA 2014a, 26).
Three quality measures that can be immediately impacted by the implementation of a CDI
program are present on admission (POA), hospital-acquired conditions (HACs), and
a.Major complications and comorbid conditions (MCCs)
b.ICD-10-CM coding
c.Physician quality reporting
d.Length of stay
a CDI is gradually expanding to quality. Three quality measures that can be immediately
impacted by the implementation of a CDI program are Present on admission (POA), Hospital-
acquired conditions (HACs), and Major complications and comorbid conditions (MCCs)
(Wiedemann 2013, 44-45).
Retention of queries should be established with the assistance of the facility:
a.CEO
b.Legal counsel
c.Director of nursing
d.Chief information officer
b The retention of queries should be determined utilizing the advice of legal counsel and
outlined in the policies and procedures (AHIMA 2014a, 5, 14).
A new nursing or HIM graduate may not be the right candidate for a CDI position at a large
quaternary care center due to:
a.Lack of basic coding knowledge
b.Lack of experience with clinical concepts
c.Both a and b
d.None of the above
c The CDI specialists should have a clinical or health information background with record
review experience. They should be able to effectively communicate with physicians and
skillfully review clinical documentation to determine where it fails to meet the criteria for
high quality (Hess 2015, 129).
2|Page
,In performing query reconciliation, it is determined that queries initiated on the floor in the
concurrent process are not addressed retrospectively at discharge. This is:
a.appropriate, as queries should not be made retrospectively
b.appropriate, as queries should not be a concern once the patient is discharged
c.inappropriate, as queries should be generated or addressed by the coder retrospectively
d.a non-issue, as it never happens
c The most efficient way to capture retrospective queries is through the coding process
Therefore, it is essential to have the coding staff interface with the CDI program staff. The
coding staff should understand when there are outstanding concurrent queries upon
discharge of the patient. The coding professional should generate a retrospective query to the
physician so long as the justification for the query still exists when the patient is discharged
(Hess 2015, 131).
Physicians within this group are often considered top priority for CDI training:
a.Oncologists
b.Neurologists
c.Hospitalists
d.Cardiologists
c Physicians from the hospitalist group are often the top priority for CDI training in many
organizations. Hospitalists often take on the role of the patient's primary care physician when
a patient is hospitalized. Hospitalists should therefore have a predominant role in CDI training
(Hess 2015, 146).
The interactive process of utilizing a physician trainer to share experiences about clinical
documentation with the trainees is:
a.Asking
b.Training
c.Mastering
d.Coaching
d Coaching is important for reinforcement and encouragement of participants within a CDI
program. Experiences are shared, feedback is obtained and activities reinforced (Hess 2015,
147).
The director of CDI and Coding is trying to improve communication between the CDI, physicians,
and coding staff. A process is being developed to integrate the CDI model with the EHR to
correspond with the physician for clarifications regarding documentation. This is called a:
a.Electronic Query Process
b.EHR innovation
3|Page
, c.Electronic Documentation Integrity
d.Meaningful Use
a The Electronic Query process is being utilized in many facilities to streamline the query
process and make queries more readily accessible remotely (AHIMA 2014a, 5).
A CDI program should have
a.Training
b.Physician advisor or champion
c.Nurses or coders performing CDI review
d.None of the above
b A physician advisor/champion should be officially designated as the physician leader for CDI
(Hess 2015, 122).
ABC Hospital has secured a consultant in making the decision to implement a CDI program. The
consulting group has determined a CDI program can impact 70 percent of the MSDRG
population and 90 percent of the medical staff could benefit from CDI initiatives. This analysis is
a.Not necessary in making a decision for CDI
b.Important in assisting organizations in identifying potential benefits.
c.Does not show impact of the need for CDI
d.Unnecessary based on the needs
b Collecting complete and accurate data prior to program implementation can assist
organizations in identifying potential benefits (AHIMA 2014a, 11).
The first great challenge of a CDI program is to
a.Persuade and have the full support of administration to implement and sustain the CDI
program
b.Find qualified staff for the program
c.Engage medical staff
d.Show quarterly return on investment
a The first great challenge of a CDI program is to persuade and have the full support of
administration to implement and sustain the CDI program (AHIMA 2014a, 12).
The CDS specialist, Gem, at ABC Hospital has had little success with several physicians
responding to clinical validation queries. A colleague of Gem's mentioned she should share this
process with her manager. The colleague most likely was referring to
a.Clinical policy
b.Query policy
4|Page
CORRECT QUESTIONS AND VERIFIED
DETAILED RATIONALES ANSWERS
|FREQUENTLY TESTED QUESTIONS AND
SOLUTIONS |ALREADY GRADED A+|LATEST
UPDATE|GUARANTEED PASS
The work and activities of the CDI professional should be tracked and monitored with a:
a.Report
b.Manager
c.Quality assurance (QA) audit tool
d.Performance improvement tool
c Monitoring a program can be vital for any process. Utilizing a Quality Assurance (QA) audit
tool can ensure compliance and program success. (AHIMA 2014a, 6).
Suggested key competencies for the CDI professional include all of the following except:
a.Communication skills
b.Leadership skills
c.Persuasive personality
d.Team player
c Finding the right person to be a part of a team can be difficult. Suggested key competencies
for a CDI professional can include:
•Financial knowledge
•Clinical knowledge
•Coding skills
•Years of experience
•Interpersonal skills
•Communication skills
•Leadership skills
•Team player
•Organizational skills
1|Page
,Leaders may utilize this to view and report outcomes measures; sometimes called Scorecard:
a.Snapshot
b.Dashboard
c.Score report
d.Query card
b Scorecards are reports of outcomes measures to help leaders know what they have
accomplished; Also called dashboards (AHIMA 2014a, 26).
Three quality measures that can be immediately impacted by the implementation of a CDI
program are present on admission (POA), hospital-acquired conditions (HACs), and
a.Major complications and comorbid conditions (MCCs)
b.ICD-10-CM coding
c.Physician quality reporting
d.Length of stay
a CDI is gradually expanding to quality. Three quality measures that can be immediately
impacted by the implementation of a CDI program are Present on admission (POA), Hospital-
acquired conditions (HACs), and Major complications and comorbid conditions (MCCs)
(Wiedemann 2013, 44-45).
Retention of queries should be established with the assistance of the facility:
a.CEO
b.Legal counsel
c.Director of nursing
d.Chief information officer
b The retention of queries should be determined utilizing the advice of legal counsel and
outlined in the policies and procedures (AHIMA 2014a, 5, 14).
A new nursing or HIM graduate may not be the right candidate for a CDI position at a large
quaternary care center due to:
a.Lack of basic coding knowledge
b.Lack of experience with clinical concepts
c.Both a and b
d.None of the above
c The CDI specialists should have a clinical or health information background with record
review experience. They should be able to effectively communicate with physicians and
skillfully review clinical documentation to determine where it fails to meet the criteria for
high quality (Hess 2015, 129).
2|Page
,In performing query reconciliation, it is determined that queries initiated on the floor in the
concurrent process are not addressed retrospectively at discharge. This is:
a.appropriate, as queries should not be made retrospectively
b.appropriate, as queries should not be a concern once the patient is discharged
c.inappropriate, as queries should be generated or addressed by the coder retrospectively
d.a non-issue, as it never happens
c The most efficient way to capture retrospective queries is through the coding process
Therefore, it is essential to have the coding staff interface with the CDI program staff. The
coding staff should understand when there are outstanding concurrent queries upon
discharge of the patient. The coding professional should generate a retrospective query to the
physician so long as the justification for the query still exists when the patient is discharged
(Hess 2015, 131).
Physicians within this group are often considered top priority for CDI training:
a.Oncologists
b.Neurologists
c.Hospitalists
d.Cardiologists
c Physicians from the hospitalist group are often the top priority for CDI training in many
organizations. Hospitalists often take on the role of the patient's primary care physician when
a patient is hospitalized. Hospitalists should therefore have a predominant role in CDI training
(Hess 2015, 146).
The interactive process of utilizing a physician trainer to share experiences about clinical
documentation with the trainees is:
a.Asking
b.Training
c.Mastering
d.Coaching
d Coaching is important for reinforcement and encouragement of participants within a CDI
program. Experiences are shared, feedback is obtained and activities reinforced (Hess 2015,
147).
The director of CDI and Coding is trying to improve communication between the CDI, physicians,
and coding staff. A process is being developed to integrate the CDI model with the EHR to
correspond with the physician for clarifications regarding documentation. This is called a:
a.Electronic Query Process
b.EHR innovation
3|Page
, c.Electronic Documentation Integrity
d.Meaningful Use
a The Electronic Query process is being utilized in many facilities to streamline the query
process and make queries more readily accessible remotely (AHIMA 2014a, 5).
A CDI program should have
a.Training
b.Physician advisor or champion
c.Nurses or coders performing CDI review
d.None of the above
b A physician advisor/champion should be officially designated as the physician leader for CDI
(Hess 2015, 122).
ABC Hospital has secured a consultant in making the decision to implement a CDI program. The
consulting group has determined a CDI program can impact 70 percent of the MSDRG
population and 90 percent of the medical staff could benefit from CDI initiatives. This analysis is
a.Not necessary in making a decision for CDI
b.Important in assisting organizations in identifying potential benefits.
c.Does not show impact of the need for CDI
d.Unnecessary based on the needs
b Collecting complete and accurate data prior to program implementation can assist
organizations in identifying potential benefits (AHIMA 2014a, 11).
The first great challenge of a CDI program is to
a.Persuade and have the full support of administration to implement and sustain the CDI
program
b.Find qualified staff for the program
c.Engage medical staff
d.Show quarterly return on investment
a The first great challenge of a CDI program is to persuade and have the full support of
administration to implement and sustain the CDI program (AHIMA 2014a, 12).
The CDS specialist, Gem, at ABC Hospital has had little success with several physicians
responding to clinical validation queries. A colleague of Gem's mentioned she should share this
process with her manager. The colleague most likely was referring to
a.Clinical policy
b.Query policy
4|Page
