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AHIMA CDIP Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: CDI Metrics & Statistics- Measure and Analyze CDI Performance
  • 1. Apply key CDI metrics
  • 2. Interpret documentation integrity data
Topic 2: Record Review & Document Clarification- Review Clinical Records
  • 1. Clarify clinical documentation with providers
  • 2. Identify documentation gaps and improvement areas
Topic 3: Compliance- Regulatory and Compliance Fundamentals
  • 1. Apply official guidelines (e.g., ICD-10-CM/PCS)
  • 2. Understand documentation requirements and compliance
Topic 4: Education and Leadership Development21–26%- Promote Documentation Integrity
  • 1. Promote CDI initiatives organization-wide
  • 2. Support multidisciplinary team documentation efforts
  • 3. Develop and nurture collaborative relationships
Topic 5: Clinical Coding Practice15–18%- Coding Application and Resources
  • 1. Assign and sequence diagnosis and procedure codes
  • 2. Understand DRG and coding conventions
  • 3. Use reference resources for code assignment

AHIMA Certified Documentation Integrity Practitioner Sample Questions:

Reviewing and analyzing physician query content on a regular basis

  • A. aids in discussion between physician and reviewer
  • B. assists in identifying gaps in skills and knowledge
  • C. facilitates physician data collection
  • D. helps to calculate query response rate
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

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Which physician would best benefit from additional education for unanswered queries?

  • A. Dr. A
  • B. Dr. B
  • C. Dr. D
  • D. Dr. C
Reveal Solution  Discussion  0

Correct Answer: C  🗳️

Explanation: Only visible for PassLeaderVCE members. You can sign-up / login (it's free).

Which of the following indicates a noncompliant multiple-choice query? One that does NOT

  • A. include at least four options
  • B. list options in alphabetical order
  • C. include the option of "unable to determine"
  • D. allow the provider to add their own response
Reveal Solution  Discussion  0

Correct Answer: A  🗳️

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Review the following query to determine if it is compliant:
Dr. Jones, this patient had a sodium level of 126 on admission and was started on a 0.9% saline IV. Can you indicate what condition is being treated?
Dehydration
Hyponatremia
Hypernatremia
Chronic kidney disease (indicate stage)
Other (please specify)

  • A. Yes, query is compliant as it offers the minimum number of multiple-choice answers ..
  • B. No, query is noncompliant as it does not provide the option of "unable to determine".
  • C. No, query is noncompliant as one of the multiple-choice options is clinically irrelevant.
  • D. Yes, query is compliant as it provides clinical indicators and several options for response.
Reveal Solution  Discussion  0

Correct Answer: C  🗳️

Explanation: Only visible for PassLeaderVCE members. You can sign-up / login (it's free).

A physician documented the specific site of the malignancy in the medical record documentation; however, the coder is unable to locate a specific entry in the ICD-10- CM Alphabetical Index to match the specified diagnosis. Which abbreviation used in the Alphabetical Index will assist the coder in assigning the appropriate diagnosis code for the specified condition?

  • A. OCE
  • B. DRG
  • C. NEC
  • D. NOS
Reveal Solution  Discussion  0

Correct Answer: C  🗳️

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