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AHIMA CDIP Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Clinical Coding Practice | 22–26% | - ICD-10-CM/PCS coding conventions and guidelines - Payer requirements and reimbursement models - Coding software and reference resources - DRG, CPT, and HCPCS code assignment - Principal and secondary diagnosis identification |
| Leadership | 17–22% | - CDI program development and promotion - Policy and procedure creation - Provider engagement and communication - Interdisciplinary collaboration |
| Compliance | 4–8% | - Fraud and abuse prevention - Legal and ethical documentation practices - AHIMA standards and regulatory requirements - Compliance monitoring and reporting |
| Research & Education | 11–15% | - Provider and staff education - Regulatory and guideline updates - Best practice research and implementation - Documentation improvement training materials |
| Record Review & Document Clarification | 24–28% | - Identify documentation gaps and specificity issues - Query tracking and follow-up - Compliance with query standards - POA, HAC, SOI, ROM clarification - Ethical provider query development |
| CDI Metrics & Statistics | 14–18% | - Benchmarking and reporting - Query response and volume tracking - Quality audits and compliance monitoring - DRG comparison and denial analysis |
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 for illegible chart notes are unnecessary
B) Queries are limited to non-leading questions
C) Non-responses to written queries are grounds for discipline
D) Primary care physicians must answer written queries
2. Which of the following is nonessential to facilitate code capture when educating clinical staff on documentation practices associated with diabetes mellitus?
A) Age
B) Type
C) Cause
D) Manifestation
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 manager
B) CDI practitioner
C) Chief Financial Officer
D) Physician advisor/champion
4. The provider was queried because the patient met clinical criteria for acute hypoxic respiratory failure. The response to the query was different than what was expected by the clinical documentation integrity practitioner (CDIP). What should the CDIP do?
A) Record the query response as disagreed
B) Have a different CDIP query the provider
C) Implement the department's escalation process
D) Revise the query and send it back to the provider
5. Educating physicians on severity of illness and risk of mortality is best accomplished by utilizing
A) physician report cards
B) case studies
C) the case mix index
D) the DRG Expert
Solutions:
| Question # 1 Answer: B | Question # 2 Answer: A | Question # 3 Answer: D | Question # 4 Answer: C | Question # 5 Answer: B |
