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AHIMA CDIP Exam Syllabus Topics:

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

AHIMA Certified Documentation Integrity Practitioner Sample Questions:

1. Which of the following clinical documentation integrity (CDI) dashboard metrics is frequently used to help evaluate the credibility of CDI practitioner queries and the success of the CDI program?

A) CDI agreement rate
B) Provider agreement rate
C) CDI query rate
D) Provider response rate


2. Patient is admitted with oliguria, pulmonary edema, and dehydration. Labs are remarkable for an elevated creatinine of 2.4, with a baseline of 1.1. Patient was hydrated for 48 hours with drop in creatinine. What would the appropriate action be?

A) Code acute renal failure since symptoms are there and documented
B) Query the physician to see if acute renal failure is clinically supported
C) Query the physician to see if acute renal failure with tubular necrosis is supported
D) No query is needed because the patient was dehydrated


3. Which of the following should an organization consider when developing a query retention policy and procedure?

A) What the escalation process will be
B) Who should be queried
C) How the query will be formatted
D) If the query is considered part of the health record


4. The ultimate purpose of clinical documentation integrity (CDI) expansion and growth is to

A) promote CDI functions so that physicians view the CDI staff as value-added service
B) provide community education to healthcare consumers
C) show a direct relationship between clinical documentation and quality patient care
D) create synergy between clinical education and CDI principles


5. The most beneficial step to identify post-discharge query opportunities that affect severity of illness, risk of mortality and case weight is to

A) watch for reportable conditions or conditions that are unambiguous or otherwise complete
B) look for documented conditions that have well supported accompanying clinical criteria
C) identify normal diagnostic test results that may indicate a possible addition of a secondary diagnosis
D) determine if only the treatment is documented and there is no diagnosis documented


Solutions:

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

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