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AHIMA CDIP Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Compliance | - Audit readiness and documentation integrity standards - Regulatory compliance and ethical documentation practices | |
| Topic 2: Record Review and Document Clarification | 24–28% | - Clinical documentation review and gap identification - Provider query development and compliance - Post-discharge review and documentation validation |
| Topic 3: Clinical Coding Practice | 15–18% | - Coding fundamentals and guidelines application - Diagnosis and procedure code assignment and sequencing - DRG assignment and reimbursement concepts |
| Topic 4: CDI Metrics and Statistics | - Performance metrics and reporting - Quality and outcome measurement (SOI/ROM) | |
| Topic 5: Education and Leadership Development | 21–26% | - CDI program leadership and organizational collaboration - Provider education and interdisciplinary communication - CDI project development and physician engagement |
AHIMA Certified Documentation Integrity Practitioner Sample Questions:
1. Collaboration between the physician advisor/champion and the clinical documentation integrity practitioners (CDIPs) would likely include
A) educating physicians
B) querying physicians
C) developing query forms
D) performing data analysis
2. The third quarter target concurrent physician query response rate for each physician in a hospital gastroenterology department was 80%. Nine physicians met or exceeded this metric; however, two physicians had third quarter concurrent physician query response rates of 19% and 64%. What is the best course of action for the clinical documentation integrity (CDI) physician advisor/champion?
A) Schedule individual meetings with each low-performing physician
B) Schedule individual meetings with each physician
C) Schedule a group meeting with all physicians
D) Schedule a meeting with the chair of the gastroenterology department
3. For inpatients with a discharge principal diagnosis of acute myocardial infarction, aspirin must be taken within
24 hours of arrival unless a contraindication to aspirin is
documented. How should this be documented in the health record?
A) The name of the medication (aspirin), the date, time and location where it was last administered
B) The name of the medication (aspirin) and the date it was last administered
C) The name of the medication (aspirin), the date and location where it was last administered
D) The name of the medication (aspirin), the date and time it was last administered
4. A clinical documentation integrity practitioner (CDIP) in an acute care hospital was asked to create new query templates for ICD-10 based on AHIMA and ACDIS guidelines. What should the multiple-choice query format include?
A) Impact on reimbursement
B) Clinically unsupported diagnosis
C) Clinically significant options
D) Clinically insignificant options
5. The clinical documentation integrity (CDI) metrics recently showed a drastic drop in the physician query rate.
What might this indicate to the CDI manager?
A) The loss of a large volume of patients has impacted workflow
B) CDI staff need education on identifying query opportunities
C) The decrease in hospital census has caused a lack of query opportunities
D) The program is successful because documentation has improved
Solutions:
| Question # 1 Answer: A | Question # 2 Answer: A | Question # 3 Answer: A | Question # 4 Answer: C | Question # 5 Answer: B |

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