Certified Inpatient Coder (CIC) Exam
Question 1. Which of the following is a required component of the inpatient medical record as per The
Joint Commission?
A) Discharge summary
B) Billing sheet
C) Insurance card copy
D) Hospital logo
Answer: A
Explanation: The discharge summary is a required component, as it details the patient’s hospital stay
and is essential for continuity of care.
Question 2. Which documentation would best support the principal diagnosis in an inpatient stay?
A) Admission history and physical
B) Insurance authorization form
C) Dietary preferences
D) Visitor log
Answer: A
Explanation: The admission history and physical provides the initial clinical impression and supports the
principal diagnosis.
Question 3. What is the primary purpose of the Uniform Hospital Discharge Data Set (UHDDS)?
A) To standardize data collected for all hospital discharges
B) To determine physician payment
C) To track outpatient visits
D) To record medication errors
Answer: A
Explanation: UHDDS standardizes the collection of data for hospital discharges, aiding in consistent
reporting and data comparison.
Question 4. Which of the following represents a documentation deficiency?
A) Illegible handwriting
