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AHIMA CDIP Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Education and Leadership Development | 21–26% | - CDI program leadership and organizational collaboration - Provider education and interdisciplinary communication - CDI project development and physician engagement |
| Topic 2: CDI Metrics and Statistics | - Quality and outcome measurement (SOI/ROM) - Performance metrics and reporting | |
| 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: 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 5: Compliance | - Regulatory compliance and ethical documentation practices - Audit readiness and documentation integrity standards |
AHIMA Certified Documentation Integrity Practitioner Sample Questions:
1. The physician advisor/champion needs to provide ongoing education regarding coding and reimbursement regulations to the
A) Health Information Management coding staff
B) clinical documentation integrity staff
C) organization senior administration staff
D) organization's medical and surgical staff
2. A clinical documentation integrity practitioner (CDIP) is developing a plan to promote the CDI program throughout a major hospital. It is proving challenging to find support. What is a primary step for the CDIP?
A) Teach nursing staff about documentation integrity
B) Teach coding classes to the new physicians as needed
C) Determine primary interests and needs as requested
D) Determine primary interests of an individual or department
3. When are concurrent queries initiated?
A) After discharge of the patient
B) After the health record has been coded
C) While the patient is hospitalized
D) Before patient is admitted
4. What policies should query professionals follow?
A) All healthcare entity's policies are the same
B) AHIMA's policies related to querying
C) CMS's policies related to querying
D) Their healthcare entity's internal policies related to querying
5. A 94-year-old female patient is admitted with altered mental status and inability to move the left side of her body. She is diagnosed with a cerebral vascular accident with left sided weakness. The patient is ambidextrous, but the physician does not specify the predominance of the affected side. The default code is
A) preferred
B) ambidextrous
C) dominant
D) non-dominant
Solutions:
| Question # 1 Answer: D | Question # 2 Answer: D | Question # 3 Answer: C | Question # 4 Answer: D | Question # 5 Answer: D |
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