CDIP COMPREHENSIVE STUDY GUIDE
2026 FULL QUESTIONS AND
SOLUTIONS GRADED A+
◍ The advantage of using internal change agents over external change agents
is that the former can usually:a.Be accepted by employees as being more
objective.b.Provide a more detailed understanding of healthcare entity's
history and issues.c.More easily challenge healthcare entity norms and
culture.d.Benchmark the healthcare entity against others..
Answer: b Internal change agents have the clear advantage of being familiar
with the organization, its history, subtle dynamics, secrets, and resources.
Such people are often well respected, securely positioned, and have the
strong interpersonal relationships to foster change. There is an advantage to
recognizing the internal expertise of employees, maintaining confidentiality
of the process, and using people who are invested in the success of the
outcome (Shaw and Carter 2014; LaTour et al. 2013, 708).
◍ When an effective leader provides employees with information,
responsibility, authority, and trust, this is
called:a.Empowermentb.Promotionc.Visiond.Delegation.
Answer: a The trend in modern organizations is to develop each employee's
leadership potential to its full capacity. This allows the employees to
exercise the empowerment they are given, demonstrate their value to the
organization, and perhaps participate in leadership succession in the
organization (Shaw and Carter 2014; LaTour et al. 2013, 750).
◍ QIO.
Answer: Quality Improvement Organization
◍ ASCQR.
Answer: Ambulatory Surgical Center Quality Reporting
,◍ Recommended Data to review.
Answer: Discharges by service and by MDC, Discharges by DRG, CMI,
Complications and Major Complication Rates, Severity Levels(MS-DRG
and APR-DRG), Medicare Quality Indicators
◍ FMQAI.
Answer: Florida Medical Quality Assurance Inc. contracted with CMS to
develop the Medication Measures Special Innovation Project
◍ NQF.
Answer: National Quality Forum
◍ In project management, what is a work breakdown structure?a.A list of the
project deliverablesb.A hierarchical list of the project tasksc.A document
that defines team roles and responsibilitiesd.A list of project scope changes.
Answer: b A project plan starts with a work breakdown structure (WBS), or
task list. The WBS is a hierarchical list of steps needed to complete the
project. This structure provides levels that are similar to the concept of a
book outline. Each level drills down to more detail. The lowest level is the
task level, which is the level to which resources are assigned and work effort
estimates are made (Shaw and Carter 2014; LaTouretal. 2013,842).
◍ IQR.
Answer: Inpatient Quality Reporting
◍ Anywhere Hospital has implemented a clinical documentation improvement
program. The Director of CDI along with the CMO has decided they will
focus on all targets for documentation improvement. This is:a.Incorrect as
CDI focuses only on Medicare patient populations.b.Incorrect as CDI
focuses only on commercial patient populations.c.Incorrect as CDI requires
a focus on both populations.d.Appropriate as CDI initiatives are dependent
on the needs of documentation improvement for each individual facility..
Answer: d There is no requirement for a CDI program to focus on a specific
payer for CDI initiatives. The focus is dependent on individual
organizational needs (AHIMA 2014a, 2).
, ◍ PQRS.
Answer: Physician Quality Reporting System
◍ Mr. Blanks is an 86-year-old male complaining of severe abdominal pain
and diarrhea. The patient has recently presented with jaundice, white stools,
swollen gallbladder, and hyperglycemic and hypoglycemic episodes.
Colonoscopy, EGD, with abdominal ultrasound was performed with initial
diagnosis of stomach and pancreatic malignant neoplasm. The patient
underwent gastric resection with pancreactomy. The CDI may want to query
for:a.Which is the primary neoplasmb.Type of neoplasmc.Cause of the
jaundiced.Nothing; no query is warranted.
Answer: a For neoplasms it is important to determine the site of the primary
neoplasm and the site of metastasis. Query should be performed when
information within the health record is unclear (AHIMA. 2013b: 50-53., 1).
◍ A 42-year-old female underwent an emergent total hysterectomy due to tear
of the uterus due to grapefruit-sized fibroid. The patient was transfused 3
units of packed red blood cells for anemia with a hemoglobin of 8.2. In this
specific scenario, which query is appropriate:a.The CDI must query the
cause of the fibroidb.Patient noted to have tear of the uterus with
hemoglobin 8.2 and transfusion of 3 units RBCs. Is the patient's anemia due
to blood loss? Yes or Noc.Query not warrantedd.The CDI must ask an open
ended query.
Answer: b The CDI can perform a Yes and No query to determine if the
anemia is due to blood loss (AHIMA 2013b, 50-53)
◍ CC/MCC focus.
Answer: ARF, Acute respiratory failure, congestive heart failure,
encephalopathy, excision debridement, HIV, AIDS, TB, sepsis, anemia, MI
◍ This type of malnutrition is rarely seen in the US and was a recent OIG
target as an inappropriate diagnosis:a.Septic malnutritionb.Kwashikor
malnutritionc.Pernicious malnutritiond.There have been no targets
surrounding the coding of malnutrition.
Answer: b Kwashikor malnutrition is rarely seen in the US and has been an
2026 FULL QUESTIONS AND
SOLUTIONS GRADED A+
◍ The advantage of using internal change agents over external change agents
is that the former can usually:a.Be accepted by employees as being more
objective.b.Provide a more detailed understanding of healthcare entity's
history and issues.c.More easily challenge healthcare entity norms and
culture.d.Benchmark the healthcare entity against others..
Answer: b Internal change agents have the clear advantage of being familiar
with the organization, its history, subtle dynamics, secrets, and resources.
Such people are often well respected, securely positioned, and have the
strong interpersonal relationships to foster change. There is an advantage to
recognizing the internal expertise of employees, maintaining confidentiality
of the process, and using people who are invested in the success of the
outcome (Shaw and Carter 2014; LaTour et al. 2013, 708).
◍ When an effective leader provides employees with information,
responsibility, authority, and trust, this is
called:a.Empowermentb.Promotionc.Visiond.Delegation.
Answer: a The trend in modern organizations is to develop each employee's
leadership potential to its full capacity. This allows the employees to
exercise the empowerment they are given, demonstrate their value to the
organization, and perhaps participate in leadership succession in the
organization (Shaw and Carter 2014; LaTour et al. 2013, 750).
◍ QIO.
Answer: Quality Improvement Organization
◍ ASCQR.
Answer: Ambulatory Surgical Center Quality Reporting
,◍ Recommended Data to review.
Answer: Discharges by service and by MDC, Discharges by DRG, CMI,
Complications and Major Complication Rates, Severity Levels(MS-DRG
and APR-DRG), Medicare Quality Indicators
◍ FMQAI.
Answer: Florida Medical Quality Assurance Inc. contracted with CMS to
develop the Medication Measures Special Innovation Project
◍ NQF.
Answer: National Quality Forum
◍ In project management, what is a work breakdown structure?a.A list of the
project deliverablesb.A hierarchical list of the project tasksc.A document
that defines team roles and responsibilitiesd.A list of project scope changes.
Answer: b A project plan starts with a work breakdown structure (WBS), or
task list. The WBS is a hierarchical list of steps needed to complete the
project. This structure provides levels that are similar to the concept of a
book outline. Each level drills down to more detail. The lowest level is the
task level, which is the level to which resources are assigned and work effort
estimates are made (Shaw and Carter 2014; LaTouretal. 2013,842).
◍ IQR.
Answer: Inpatient Quality Reporting
◍ Anywhere Hospital has implemented a clinical documentation improvement
program. The Director of CDI along with the CMO has decided they will
focus on all targets for documentation improvement. This is:a.Incorrect as
CDI focuses only on Medicare patient populations.b.Incorrect as CDI
focuses only on commercial patient populations.c.Incorrect as CDI requires
a focus on both populations.d.Appropriate as CDI initiatives are dependent
on the needs of documentation improvement for each individual facility..
Answer: d There is no requirement for a CDI program to focus on a specific
payer for CDI initiatives. The focus is dependent on individual
organizational needs (AHIMA 2014a, 2).
, ◍ PQRS.
Answer: Physician Quality Reporting System
◍ Mr. Blanks is an 86-year-old male complaining of severe abdominal pain
and diarrhea. The patient has recently presented with jaundice, white stools,
swollen gallbladder, and hyperglycemic and hypoglycemic episodes.
Colonoscopy, EGD, with abdominal ultrasound was performed with initial
diagnosis of stomach and pancreatic malignant neoplasm. The patient
underwent gastric resection with pancreactomy. The CDI may want to query
for:a.Which is the primary neoplasmb.Type of neoplasmc.Cause of the
jaundiced.Nothing; no query is warranted.
Answer: a For neoplasms it is important to determine the site of the primary
neoplasm and the site of metastasis. Query should be performed when
information within the health record is unclear (AHIMA. 2013b: 50-53., 1).
◍ A 42-year-old female underwent an emergent total hysterectomy due to tear
of the uterus due to grapefruit-sized fibroid. The patient was transfused 3
units of packed red blood cells for anemia with a hemoglobin of 8.2. In this
specific scenario, which query is appropriate:a.The CDI must query the
cause of the fibroidb.Patient noted to have tear of the uterus with
hemoglobin 8.2 and transfusion of 3 units RBCs. Is the patient's anemia due
to blood loss? Yes or Noc.Query not warrantedd.The CDI must ask an open
ended query.
Answer: b The CDI can perform a Yes and No query to determine if the
anemia is due to blood loss (AHIMA 2013b, 50-53)
◍ CC/MCC focus.
Answer: ARF, Acute respiratory failure, congestive heart failure,
encephalopathy, excision debridement, HIV, AIDS, TB, sepsis, anemia, MI
◍ This type of malnutrition is rarely seen in the US and was a recent OIG
target as an inappropriate diagnosis:a.Septic malnutritionb.Kwashikor
malnutritionc.Pernicious malnutritiond.There have been no targets
surrounding the coding of malnutrition.
Answer: b Kwashikor malnutrition is rarely seen in the US and has been an
