Page 1 of 212
CDIP (CERTIFIED DOCUMENTATION INTEGRITY PRACTITIONER)
EXAM A, B, C & STUDY GUIDE TEST BANK COMPLETE 500
QUESTIONS AND WELL ELABORATED ANSWERS JUST
RELEASED
CDIP (CERTIFIED DOCUMENTATION INTEGRITY PRACTITIONER) EXAM A
QUESTION: The patient underwent laparotomy to determine if repair was needed to a patient's
gastric bypass due to a fall later the day of procedure while in the hospital. No damage was
identified and the would was closed. The CDS is not sure what root operation to use. The most
appropriate root operation would be:
A) Inspection
B) Revision
C) Exploration
D) Repair - ANSWER✔✔A) Inspection
QUESTION: Which of the following would generally be found in a query to a physician?
A) Health record number and demographic information
B) Name and contact number of the individual initiating the query and account number
C) Date query initiated and date query must be completed
D) Demographic information and name and contact number of individual initiating the query -
ANSWER✔✔B) Name and contact number of the individual initiating the query and account
number
, Page 2 of 212
(A query generally includes:
Patient name, admission date or DOS, health record number, account number, date query
initiated, name and contact information of the individual initiating the query, and statement of
the issue in the form of a question along with clinical indicators specified from the chart)
QUESTION: Modifier 59 provides guidance that a service is distinct and separate. Beginning
January 2015, 4 new modifiers were created to provide greater reporting specificity in situations
where modifier 59 was previously reported and may be utilized in lieu of modifier 59 whenever
possible. These modifiers are:
A) XA, XB, XC, XD
B) CC44, CC45, CC46, CC47
C) XE, XS, XP, XU
D) 44, 45, 46, 47 - ANSWER✔✔C) XE, XS, XP, XU
QUESTION: Anywhere Hospital has been experiencing problems interacting with the medical
staff. Anywhere should utilize which committee to assist these problems?
A) Compliance committee
B) Executive committee
C) Medical staff committee
D) Oversight committee - ANSWER✔✔D) Oversight committee
, Page 3 of 212
QUESTION: Dr. Smith is the physician advisor for a 200-bed hospital in the south. He has a very
close relationship with the physicians within this small facility and they all share many of the
patients. Dr Smith should:
A) Tell the physicians he has the best relationships with the physicians and can tell them what to
document
B) Document specifically what is needed in the health record for the patient
C) Not tell or ask a treating physician to document something specifically
D) Respond to queries on patients they both have seen in the past 3 years - ANSWER✔✔C) Not
tell or ask a treating physician to document something specifically
QUESTION: To ensure a CDI program is successful and sustainable it should have:
A) Physician leadership
B) Metrics
C) A CDI manager
D) Resources such as CDI software - ANSWER✔✔A) Physician leadership
QUESTION: Terms synonymous with query are clarification, clinical clarification, documentation
alert, and ______?
A) Inquiry
B) Documentation clarification
C) None, query is the only term
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D) Physician query - ANSWER✔✔B) Documentation clarification
When trying to determine if documentation is present to substantiate status asthmaticus, the
coder should review the record for what terms and phrases?
A) Intractable pneumonia
B) Refractory asthma and severe, intractable wheezing
C) Airway obstruction relieved by bronchodilators
D) Limited but pronounced wheezing - ANSWER✔✔B) Refractory asthma and severe, intractable
wheezing
QUESTION: Mechanical ventilation codes require consideration of:
A) The time when a tracheal tube is inserted
B) The replacement of an endotracheal tube
C) The start time of endotracheal tube insertion followed by mechanical ventilation
D) Mechanical ventilation during surgery - ANSWER✔✔C) The start time of endotracheal tube
insertion followed by mechanical ventilation
QUESTION: Abbreviations can be a source of patient safety issues due to misinterpretation and
miscommunication. Abbreviations in the health record:
A) Are not permitted by Joint Commission standards
B) Should have only one meaning
CDIP (CERTIFIED DOCUMENTATION INTEGRITY PRACTITIONER)
EXAM A, B, C & STUDY GUIDE TEST BANK COMPLETE 500
QUESTIONS AND WELL ELABORATED ANSWERS JUST
RELEASED
CDIP (CERTIFIED DOCUMENTATION INTEGRITY PRACTITIONER) EXAM A
QUESTION: The patient underwent laparotomy to determine if repair was needed to a patient's
gastric bypass due to a fall later the day of procedure while in the hospital. No damage was
identified and the would was closed. The CDS is not sure what root operation to use. The most
appropriate root operation would be:
A) Inspection
B) Revision
C) Exploration
D) Repair - ANSWER✔✔A) Inspection
QUESTION: Which of the following would generally be found in a query to a physician?
A) Health record number and demographic information
B) Name and contact number of the individual initiating the query and account number
C) Date query initiated and date query must be completed
D) Demographic information and name and contact number of individual initiating the query -
ANSWER✔✔B) Name and contact number of the individual initiating the query and account
number
, Page 2 of 212
(A query generally includes:
Patient name, admission date or DOS, health record number, account number, date query
initiated, name and contact information of the individual initiating the query, and statement of
the issue in the form of a question along with clinical indicators specified from the chart)
QUESTION: Modifier 59 provides guidance that a service is distinct and separate. Beginning
January 2015, 4 new modifiers were created to provide greater reporting specificity in situations
where modifier 59 was previously reported and may be utilized in lieu of modifier 59 whenever
possible. These modifiers are:
A) XA, XB, XC, XD
B) CC44, CC45, CC46, CC47
C) XE, XS, XP, XU
D) 44, 45, 46, 47 - ANSWER✔✔C) XE, XS, XP, XU
QUESTION: Anywhere Hospital has been experiencing problems interacting with the medical
staff. Anywhere should utilize which committee to assist these problems?
A) Compliance committee
B) Executive committee
C) Medical staff committee
D) Oversight committee - ANSWER✔✔D) Oversight committee
, Page 3 of 212
QUESTION: Dr. Smith is the physician advisor for a 200-bed hospital in the south. He has a very
close relationship with the physicians within this small facility and they all share many of the
patients. Dr Smith should:
A) Tell the physicians he has the best relationships with the physicians and can tell them what to
document
B) Document specifically what is needed in the health record for the patient
C) Not tell or ask a treating physician to document something specifically
D) Respond to queries on patients they both have seen in the past 3 years - ANSWER✔✔C) Not
tell or ask a treating physician to document something specifically
QUESTION: To ensure a CDI program is successful and sustainable it should have:
A) Physician leadership
B) Metrics
C) A CDI manager
D) Resources such as CDI software - ANSWER✔✔A) Physician leadership
QUESTION: Terms synonymous with query are clarification, clinical clarification, documentation
alert, and ______?
A) Inquiry
B) Documentation clarification
C) None, query is the only term
, Page 4 of 212
D) Physician query - ANSWER✔✔B) Documentation clarification
When trying to determine if documentation is present to substantiate status asthmaticus, the
coder should review the record for what terms and phrases?
A) Intractable pneumonia
B) Refractory asthma and severe, intractable wheezing
C) Airway obstruction relieved by bronchodilators
D) Limited but pronounced wheezing - ANSWER✔✔B) Refractory asthma and severe, intractable
wheezing
QUESTION: Mechanical ventilation codes require consideration of:
A) The time when a tracheal tube is inserted
B) The replacement of an endotracheal tube
C) The start time of endotracheal tube insertion followed by mechanical ventilation
D) Mechanical ventilation during surgery - ANSWER✔✔C) The start time of endotracheal tube
insertion followed by mechanical ventilation
QUESTION: Abbreviations can be a source of patient safety issues due to misinterpretation and
miscommunication. Abbreviations in the health record:
A) Are not permitted by Joint Commission standards
B) Should have only one meaning
