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AHIMA CDIP Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Record Review & Document Clarification | 24–28% | - Ethical provider query development - Identify documentation gaps and specificity issues - Compliance with query standards - POA, HAC, SOI, ROM clarification - Query tracking and follow-up |
| Leadership | 17–22% | - Interdisciplinary collaboration - CDI program development and promotion - Policy and procedure creation - Provider engagement and communication |
| CDI Metrics & Statistics | 14–18% | - DRG comparison and denial analysis - Benchmarking and reporting - Quality audits and compliance monitoring - Query response and volume tracking |
| Research & Education | 11–15% | - Provider and staff education - Regulatory and guideline updates - Best practice research and implementation - Documentation improvement training materials |
| Compliance | 4–8% | - AHIMA standards and regulatory requirements - Legal and ethical documentation practices - Compliance monitoring and reporting - Fraud and abuse prevention |
| Clinical Coding Practice | 22–26% | - Coding software and reference resources - ICD-10-CM/PCS coding conventions and guidelines - Payer requirements and reimbursement models - DRG, CPT, and HCPCS code assignment - Principal and secondary diagnosis identification |
AHIMA Certified Documentation Integrity Practitioner Sample Questions:
1. Which of the following is a clinical documentation element supporting a transbronchial biopsy?
A) Pathology report documenting bronchial tissue
B) Hemoptysis
C) Length of procedure
D) Pathology report documenting alveolar tissue
2. The clinical documentation integrity (CDI) manager has noted a query response rate of 60%. The CDI practitioner reports that physicians often respond verbally to the query. What can be done to improve this rate?
A) Allow physician to respond via e-mail
B) Have CDI manager teaming with coding supervisor to monitor physician responses
C) Require physicians to document responses in charts
D) Permit CDI practitioners to document physician responses in the charts
3. Tracking denials within the clinical documentation integrity program is important to
A) determine coding inaccuracies and educate as necessary
B) identify documentation improvement opportunities and educate as necessary
C) confirm reimbursement was appropriate
D) file a timely appeal if the medical center disagrees with the RAC findings
4. An 88-year-old male is admitted with a fever, cough, and leukocytosis. The physician documents admit for probable sepsis due to urinary tract infection (UTI). Antibiotics are started. Three days later, the blood and urine cultures are negative, the patient has been afebrile since admission, and the white blood count is returning to normal. What documentation clarification is needed to support accurate coding of the record?
A) A clinical validation query is not required for either diagnosis.
B) Send a clinical validation query for only the diagnosis of sepsis.
C) Send a clinical validation query for both the diagnoses of sepsis and UTI.
D) Send a clinical validation query for only the diagnosis of UTI.
5. Which of the following demonstrates the relative severity and complexity of patient treated in the hospital, and is used to evaluate the financial impact of a hospital's clinical documentation integrity (CDI) program?
A) Hospital acquired conditions
B) Present on admission indicators
C) Program for evaluating payment patterns electronic report
D) Adjusted case mix index
Solutions:
| Question # 1 Answer: D | Question # 2 Answer: C | Question # 3 Answer: B | Question # 4 Answer: C | Question # 5 Answer: D |



