1|Page
CDIP PRACTICE EXAM 1 LATEST 2025/ 2026 ACTUAL
EXAM WITH COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (100%
VERIFIED ANSWERS) |ALREADY GRADED A+|
||VERIFIED EXAM!!!|| ||LATEST EXAM!!!||
EHR systems that mostly allow point and click navigation
are:
a.Easy for physicians
b.Of limited risk
c.An additional compliance risk
d.Not allowed by CMS - Answer-c Most of these systems
allow physicians to "point and click" their way through a
patient encounter, which creates additional compliance
risks for the organization. The ease and efficiency of the
EHR may result in scenarios where, for example, the
physician automatically checks (or does not check) all the
boxes in a patient's history and physical report.
A facility has a MSDRG utilization rate of 85% of MCCs for
a specific MSDRG. This could indicate:
a.underutilization
b.overutilization
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c.a compliance risk
d.both Band C - Answer-d A higher utilization of a specific
DRG in comparison to peers could indicate a
documentation/coding issue (Hess 2015, 90).
Due to the compliance concerns surrounding the possible
leading queries, CMS has engaged which organization to
assist in record review of certain diagnosis-related groups
(DRGs) and documentation concerns?
a.QIO
b.PEPPER
c.ONC
d.Q-Net - Answer-a CMS has engaged the QIOs to assist
in record review of certain diagnosis-related groups
(DRGs) and documentation concerns (Hess 2015, 178).
This document outlines areas of audit and review as
pursued by the Department of Health and Human Services
by the Office of Inspector General (OIG)
a.OIG Statement of Work
b.OIG Final Rule
c.OIG Work Plan
,3|Page
d.None of the above - Answer-c The OIG Work Plan
outlines areas of audit and review as pursued by the
Department of Health and Human Services by the Office
of Inspector General (OIG). This document is published
and updated yearly (OIG 2016).
This is a form of severe protein malnutrition that generally
affects children living in tropical and subtropical parts of
the world during periods of famine or insufficient food
supply. It is typically not found in the United States. It is a
focused audit area.
a.Protein-calorie malnutrition
b.Severe malnutrition
c.Vitamin A deficient malnutrition
d.Kwashiorkor - Answer-d Kwashiorkor is a form of severe
protein malnutrition that generally affects children living in
tropical and subtropical parts of the world during periods of
famine or insufficient food supply. It is typically not found in
the United States. It has been a coding target for RAC,
MAC, and the OIG (OIG 2016, 12).
This governmental audit agency calculates the national
paid claims error rate for all of the Medicare fee-for-service
claims paid by MACs
, 4|Page
a.Comprehensive Error Rate Testing (CERT)
b.Recovery Audit Contractor (RAC)
c.Medicare Administrative Contractor (MAC)
d.No governmental agency regulates error rate - Answer-a
Comprehensive Error Rate Testing (CERT) governmental
audit agency performs random reviews to calculate the
national paid claims error rate for all of the Medicare fee-
for-service claims paid by MACs. It was implemented by
CMS (AHIMA 2011).
If a provider determines amendment of the electronic
health record is needed, the provider should
a.Be timely and have current date, time
b.State the reason for the additional information being
added to the health record
c.Be electronically signed.
d.All of the above - Answer-d Providers should have a
process of the amendment of provider determines
amendment of the electronic health record. The
information should be timely and have current date, time,
state the reason for the additional information being added
to the health record, and be electronically signed (AHIMA
2013a, 50-53).
CDIP PRACTICE EXAM 1 LATEST 2025/ 2026 ACTUAL
EXAM WITH COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (100%
VERIFIED ANSWERS) |ALREADY GRADED A+|
||VERIFIED EXAM!!!|| ||LATEST EXAM!!!||
EHR systems that mostly allow point and click navigation
are:
a.Easy for physicians
b.Of limited risk
c.An additional compliance risk
d.Not allowed by CMS - Answer-c Most of these systems
allow physicians to "point and click" their way through a
patient encounter, which creates additional compliance
risks for the organization. The ease and efficiency of the
EHR may result in scenarios where, for example, the
physician automatically checks (or does not check) all the
boxes in a patient's history and physical report.
A facility has a MSDRG utilization rate of 85% of MCCs for
a specific MSDRG. This could indicate:
a.underutilization
b.overutilization
,2|Page
c.a compliance risk
d.both Band C - Answer-d A higher utilization of a specific
DRG in comparison to peers could indicate a
documentation/coding issue (Hess 2015, 90).
Due to the compliance concerns surrounding the possible
leading queries, CMS has engaged which organization to
assist in record review of certain diagnosis-related groups
(DRGs) and documentation concerns?
a.QIO
b.PEPPER
c.ONC
d.Q-Net - Answer-a CMS has engaged the QIOs to assist
in record review of certain diagnosis-related groups
(DRGs) and documentation concerns (Hess 2015, 178).
This document outlines areas of audit and review as
pursued by the Department of Health and Human Services
by the Office of Inspector General (OIG)
a.OIG Statement of Work
b.OIG Final Rule
c.OIG Work Plan
,3|Page
d.None of the above - Answer-c The OIG Work Plan
outlines areas of audit and review as pursued by the
Department of Health and Human Services by the Office
of Inspector General (OIG). This document is published
and updated yearly (OIG 2016).
This is a form of severe protein malnutrition that generally
affects children living in tropical and subtropical parts of
the world during periods of famine or insufficient food
supply. It is typically not found in the United States. It is a
focused audit area.
a.Protein-calorie malnutrition
b.Severe malnutrition
c.Vitamin A deficient malnutrition
d.Kwashiorkor - Answer-d Kwashiorkor is a form of severe
protein malnutrition that generally affects children living in
tropical and subtropical parts of the world during periods of
famine or insufficient food supply. It is typically not found in
the United States. It has been a coding target for RAC,
MAC, and the OIG (OIG 2016, 12).
This governmental audit agency calculates the national
paid claims error rate for all of the Medicare fee-for-service
claims paid by MACs
, 4|Page
a.Comprehensive Error Rate Testing (CERT)
b.Recovery Audit Contractor (RAC)
c.Medicare Administrative Contractor (MAC)
d.No governmental agency regulates error rate - Answer-a
Comprehensive Error Rate Testing (CERT) governmental
audit agency performs random reviews to calculate the
national paid claims error rate for all of the Medicare fee-
for-service claims paid by MACs. It was implemented by
CMS (AHIMA 2011).
If a provider determines amendment of the electronic
health record is needed, the provider should
a.Be timely and have current date, time
b.State the reason for the additional information being
added to the health record
c.Be electronically signed.
d.All of the above - Answer-d Providers should have a
process of the amendment of provider determines
amendment of the electronic health record. The
information should be timely and have current date, time,
state the reason for the additional information being added
to the health record, and be electronically signed (AHIMA
2013a, 50-53).
