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AHIMA CDIP Exam Syllabus Topics:

SectionWeightObjectives
Compliance4–8%- Compliance monitoring and reporting
- Fraud and abuse prevention
- AHIMA standards and regulatory requirements
- Legal and ethical documentation practices
Record Review & Document Clarification24–28%- Compliance with query standards
- Query tracking and follow-up
- POA, HAC, SOI, ROM clarification
- Ethical provider query development
- Identify documentation gaps and specificity issues
CDI Metrics & Statistics14–18%- DRG comparison and denial analysis
- Query response and volume tracking
- Quality audits and compliance monitoring
- Benchmarking and reporting
Clinical Coding Practice22–26%- Principal and secondary diagnosis identification
- DRG, CPT, and HCPCS code assignment
- ICD-10-CM/PCS coding conventions and guidelines
- Coding software and reference resources
- Payer requirements and reimbursement models
Leadership17–22%- Interdisciplinary collaboration
- Policy and procedure creation
- Provider engagement and communication
- CDI program development and promotion
Research & Education11–15%- Provider and staff education
- Documentation improvement training materials
- Best practice research and implementation
- Regulatory and guideline updates

AHIMA Certified Documentation Integrity Practitioner Sample Questions:

1. 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) Determine primary interests and needs as requested
B) Teach coding classes to the new physicians as needed
C) Teach nursing staff about documentation integrity
D) Determine primary interests of an individual or department


2. Which of the following committees should determine the chain of comnfand that will be used to manage physicians who are either unresponsive or uncooperative with the clinical documentation integrity (CDI) program?

A) Oversight
B) Compliance
C) Operations
D) Communications


3. A modifier may be used in CPT and/or HCPCS codes to indicate

A) a service or procedure was performed in its entirety
B) a service or procedure was performed by one provider
C) a service or procedure resulted in expected outcomes
D) a service or procedure was increased or reduced


4. 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) Chief Financial Officer
B) Physician advisor/champion
C) CDI manager
D) CDI practitioner


5. Reviewing and analyzing physician query content on a regular basis

A) facilitates physician data collection
B) assists in identifying gaps in skills and knowledge
C) aids in discussion between physician and reviewer
D) helps to calculate query response rate


Solutions:

Question # 1
Answer: D
Question # 2
Answer: A
Question # 3
Answer: D
Question # 4
Answer: B
Question # 5
Answer: B

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