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AHIMA CDIP Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Record Review & Document Clarification | - Review Clinical Records
| |
| Education and Leadership Development | 21–26% | - Promote Documentation Integrity
|
| CDI Metrics & Statistics | - Measure and Analyze CDI Performance
| |
| Compliance | - Regulatory and Compliance Fundamentals
| |
| Clinical Coding Practice | 15–18% | - Coding Application and Resources
|
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 are limited to non-leading questions
B) Primary care physicians must answer written queries
C) Queries for illegible chart notes are unnecessary
D) Non-responses to written queries are grounds for discipline
2. 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
3. A pressure ulcer stage III is documented in the progress note. The clinical documentation integrity practitioner (CDIP) has queried the attending regarding the present on admission status of the pressure ulcer but has not received a response in an appropriate time frame. What should the CDIP do next?
A) Query wound care nurse
B) Escalate issue to hospital administration
C) Escalate issue to medical staff leadership
D) Query surgical consultant
4. When are concurrent queries initiated?
A) While the patient is hospitalized
B) Before patient is admitted
C) After the health record has been coded
D) After discharge of the patient
5. A patient falls off a ladder and undergoes a right femur procedure. Three weeks later, the patient returns to the hospital for removal of the external fixation device. The ICD-10-CM 7th character code value should indicate
A) sequela
B) subsequent
C) initial
D) aftercare
Solutions:
| Question # 1 Answer: A | Question # 2 Answer: B | Question # 3 Answer: C | Question # 4 Answer: A | Question # 5 Answer: D |
