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AHIMA CDIP Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Clinical Coding Practice | 22–26% | - Payer requirements and reimbursement models - Principal and secondary diagnosis identification - DRG, CPT, and HCPCS code assignment - ICD-10-CM/PCS coding conventions and guidelines - Coding software and reference resources |
| Topic 2: Compliance | 4–8% | - Compliance monitoring and reporting - Legal and ethical documentation practices - Fraud and abuse prevention - AHIMA standards and regulatory requirements |
| Topic 3: Research & Education | 11–15% | - Best practice research and implementation - Documentation improvement training materials - Regulatory and guideline updates - Provider and staff education |
| Topic 4: Record Review & Document Clarification | 24–28% | - Compliance with query standards - Query tracking and follow-up - POA, HAC, SOI, ROM clarification - Ethical provider query development - Identify documentation gaps and specificity issues |
| Topic 5: CDI Metrics & Statistics | 14–18% | - Query response and volume tracking - DRG comparison and denial analysis - Benchmarking and reporting - Quality audits and compliance monitoring |
| Topic 6: Leadership | 17–22% | - Provider engagement and communication - Policy and procedure creation - Interdisciplinary collaboration - CDI program development and promotion |
AHIMA Certified Documentation Integrity Practitioner Sample Questions:
The most beneficial step to identify post-discharge query opportunities that affect severity of illness, risk of mortality and case weight is to
- A. identify normal diagnostic test results that may indicate a possible addition of a secondary diagnosis
- B. watch for reportable conditions or conditions that are unambiguous or otherwise complete
- C. look for documented conditions that have well supported accompanying clinical criteria
- D. determine if only the treatment is documented and there is no diagnosis documented
Correct Answer: D 🗳️
Which of the following should be shared to ensure a clear sense of what clinical documentation integrity (CDI) is and the CDI practitioner's role within the organization?
- A. Mission
- B. Milestones
- C. Productivity standards
- D. Review schedule
Correct Answer: A 🗳️
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Which of the following is considered a hospital-acquired condition if not present on admission?
- A. Diabetes with hypoglycemia
- B. Blood incompatibility
- C. Stage I and II pressure ulcers
- D. Air leak
Correct Answer: B 🗳️
Explanation: Only visible for Prep4pass members. You can sign-up / login (it's free).
Besides the physician advisor/champion, who should be included as a key stakeholder in the clinical documentation integrity (CDI) steering committee to promote CDI initiatives?
- A. Director of Informatics
- B. Director of Risk Management
- C. Manager of HIM/Coding
- D. Manager of Surgical Services
Correct Answer: C 🗳️
Explanation: Only visible for Prep4pass members. You can sign-up / login (it's free).
What type of query may NOT be used in circumstances where only clinical indicators of a condition are present, and the condition/diagnosis has not been documented in the health record?
- A. Multiple-choice
- B. Verbal
- C. Yes/No
- D. Open-ended
Correct Answer: C 🗳️
Explanation: Only visible for Prep4pass members. You can sign-up / login (it's free).
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