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AHIMA CDIP Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Compliance | 4–8% | - AHIMA standards and regulatory requirements - Legal and ethical documentation practices - Fraud and abuse prevention - Compliance monitoring and reporting |
| Topic 2: Record Review & Document Clarification | 24–28% | - Identify documentation gaps and specificity issues - Compliance with query standards - Query tracking and follow-up - POA, HAC, SOI, ROM clarification - Ethical provider query development |
| Topic 3: CDI Metrics & Statistics | 14–18% | - DRG comparison and denial analysis - Benchmarking and reporting - Quality audits and compliance monitoring - Query response and volume tracking |
| Topic 4: Clinical Coding Practice | 22–26% | - ICD-10-CM/PCS coding conventions and guidelines - DRG, CPT, and HCPCS code assignment - Payer requirements and reimbursement models - Principal and secondary diagnosis identification - Coding software and reference resources |
| Topic 5: Research & Education | 11–15% | - Documentation improvement training materials - Best practice research and implementation - Provider and staff education - Regulatory and guideline updates |
| 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:
1. A patient is admitted for chronic obstructive pulmonary disease (COPD) exacerbation. The patient is on 3L of home oxygen and is treated during admission with 3L of oxygen. The most appropriate action is to
A) query the provider to see if respiratory insufficiency is supported by the health record
B) query the provider to see if acute on chronic respiratory failure is supported by the health record
C) code the diagnoses of COPD exacerbation and chronic respiratory failure
D) query the provider to see if chronic respiratory failure is supported by the health record
2. A clinical documentation integrity practitioner (CDIP) generates a concurrent query and continues to follow retrospectively; however, the coder releases the bill before the query is answered. The CDIP wonders if it is appropriate to re-bill the account if the physician answers the query after the bill has dropped. Which policy should the hospital follow to avoid a compliance risk?
A) A post-bill query rarely occurs as a result of an audit or other internal monitor.
B) A second bill should not be submitted when the first bill was incomplete.
C) A post bill query is not appropriate when an error is found after an audit.
D) A rebilling is permissible when queries are answered after the initial bill.
3. Which of the following is a clinical documentation element supporting a transbronchial biopsy?
A) Hemoptysis
B) Length of procedure
C) Pathology report documenting bronchial tissue
D) Pathology report documenting alveolar tissue
4. Which physician would best benefit from additional education for unanswered queries?
A) Dr. B
B) Dr. C
C) Dr. D
D) Dr. A
5. 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) Physician advisor/champion
B) CDI practitioner
C) CDI manager
D) Chief Financial Officer
Solutions:
| Question # 1 Answer: B | Question # 2 Answer: D | Question # 3 Answer: D | Question # 4 Answer: C | Question # 5 Answer: A |
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