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AHIMA CDIP Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Record Review and Document Clarification | 24–28% | - Clinical documentation review and gap identification - Post-discharge review and documentation validation - Provider query development and compliance |
| Topic 2: Compliance | - Regulatory compliance and ethical documentation practices - Audit readiness and documentation integrity standards | |
| Topic 3: CDI Metrics and Statistics | - Quality and outcome measurement (SOI/ROM) - Performance metrics and reporting | |
| Topic 4: Education and Leadership Development | 21–26% | - CDI program leadership and organizational collaboration - Provider education and interdisciplinary communication - CDI project development and physician engagement |
| Topic 5: Clinical Coding Practice | 15–18% | - Diagnosis and procedure code assignment and sequencing - DRG assignment and reimbursement concepts - Coding fundamentals and guidelines application |
AHIMA Certified Documentation Integrity Practitioner Sample Questions:
1. A clinical documentation integrity practitioner (CDIP) hired by an internal medicine clinic is creating policies governing written queries. What is an AHIMA best practice for these policies?
A) Queries are limited to non-leading questions
B) Primary care physicians must answer written queries
C) Non-responses to written queries are grounds for discipline
D) Queries for illegible chart notes are unnecessary
2. Which of the following is used to measure the impact of a clinical documentation integrity (CDI) program on Centers for Medicare and Medicaid Services quality performance?
A) Severity of illness
B) Case mix index
C) Risk of mortality
D) Outcome measures
3. Which member of the clinical documentation integrity (CDI) team can help provide peer-to-peer level of education on the importance of accurate documentation and query responses?
A) CDI practitioner
B) Physician advisor/champion
C) CDI manager
D) Chief Financial Officer
4. A query should be generated when the documentation is
A) conflicting
B) consistent
C) legible
D) complete
5. A clinical documentation integrity practitioner (CDIP) generates a concurrent query and continues to follow retrospectively; however, the coder releases the bill before the query is answered. The CDIP wonders if it is appropriate to re-bill the account if the physician answers the query after the bill has dropped. Which policy should the hospital follow to avoid a compliance risk?
A) A post-bill query rarely occurs as a result of an audit or other internal monitor.
B) A post bill query is not appropriate when an error is found after an audit.
C) A second bill should not be submitted when the first bill was incomplete.
D) A rebilling is permissible when queries are answered after the initial bill.
Solutions:
| Question # 1 Answer: A | Question # 2 Answer: D | Question # 3 Answer: B | Question # 4 Answer: A | Question # 5 Answer: D |
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