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AHIMA CDIP Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Record Review and Document Clarification | 24–28% | - Provider query development and compliance - Post-discharge review and documentation validation - Clinical documentation review and gap identification |
| Topic 2: Education and Leadership Development | 21–26% | - CDI project development and physician engagement - Provider education and interdisciplinary communication - CDI program leadership and organizational collaboration |
| Topic 3: CDI Metrics and Statistics | - Quality and outcome measurement (SOI/ROM) - Performance metrics and reporting | |
| Topic 4: Compliance | - Audit readiness and documentation integrity standards - Regulatory compliance and ethical documentation practices | |
| Topic 5: Clinical Coding Practice | 15–18% | - Coding fundamentals and guidelines application - Diagnosis and procedure code assignment and sequencing - DRG assignment and reimbursement concepts |
AHIMA Certified Documentation Integrity Practitioner Sample Questions:
1. A key physician approaches the director of the coding department about the new emphasis associated with clinical documentation integrity (CDI). The physician does not support the program and believes the initiative will encourage inappropriate billing.
How should the director respond to the concerns?
A) Involve the physician advisor/champion in addressing the medical staff's concerns
B) Develop an administrative panel to oversee CDI process
C) Inform the physician that changes must be made
D) Refer the physician to the finance department to discuss required billing changes
2. A clinical documentation integrity practitioner (CDIP) in an acute care hospital was asked to create new query templates for ICD-10 based on AHIMA and ACDIS guidelines. What should the multiple-choice query format include?
A) Impact on reimbursement
B) Clinically unsupported diagnosis
C) Clinically insignificant options
D) Clinically significant options
3. Whether or not queries should be kept as a permanent part of the medical record is decided by
A) organizational policy
B) state law
C) physician preference
D) federal law
4. Which factors are important to include when refocusing the primary vision of a clinical documentation integrity (CDI) program?
A) Value and mission statements
B) Reporting and the use of technology
C) Diagnostic related groups and revenue cycle
D) Benchmarks and case mix index
5. Creating policies and procedures for the query process will help eliminate
A) confusion
B) duplication
C) risk
D) indecision
Solutions:
| Question # 1 Answer: A | Question # 2 Answer: D | Question # 3 Answer: A | Question # 4 Answer: A | Question # 5 Answer: A |



