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AHIMA CDIP Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Record Review & Document Clarification | 24–28% | - Ethical provider query development - Identify documentation gaps and specificity issues - Compliance with query standards - POA, HAC, SOI, ROM clarification - Query tracking and follow-up |
| Topic 2: CDI Metrics & Statistics | 14–18% | - Benchmarking and reporting - Quality audits and compliance monitoring - Query response and volume tracking - DRG comparison and denial analysis |
| Topic 3: Clinical Coding Practice | 22–26% | - DRG, CPT, and HCPCS code assignment - Principal and secondary diagnosis identification - Coding software and reference resources - Payer requirements and reimbursement models - ICD-10-CM/PCS coding conventions and guidelines |
| Topic 4: Research & Education | 11–15% | - Documentation improvement training materials - Best practice research and implementation - Provider and staff education - Regulatory and guideline updates |
| Topic 5: Leadership | 17–22% | - CDI program development and promotion - Policy and procedure creation - Provider engagement and communication - Interdisciplinary collaboration |
| Topic 6: Compliance | 4–8% | - AHIMA standards and regulatory requirements - Legal and ethical documentation practices - Fraud and abuse prevention - Compliance monitoring and reporting |
AHIMA Certified Documentation Integrity Practitioner Sample Questions:
1. Reviewing and analyzing physician query content on a regular basis
A) facilitates physician data collection
B) assists in identifying gaps in skills and knowledge
C) aids in discussion between physician and reviewer
D) helps to calculate query response rate
2. What type of laboratory test is a creatinine test?
A) Hematology
B) Chemistry
C) Microbiology
D) Serology
3. Proposed changes to the inpatient prospective payment system (IPPS) take effect on
A) October 1
B) July 1
C) April 1
D) January 1
4. The clinical documentation integrity (CDI) manager reviewed all payer refined-diagnosis related groups (APR-DRG) benchmarking data and has identified potential opportunities for improvement. The manager hopes to develop a work plan to target severity of illness (SOI)/risk of mortality (ROM) by service line and providers. How can the manager gain more information about this situation?
A) Audit cases that have high SOI/ROM assigned by coders for education and follow-up
B) Audit cases for missed diagnosis by the CDI practitioner to target in the education plan
C) Audit focused cases by physicians that have a higher SOI/ROM for education plan
D) Audit focused APR-DRGs and develop education plan for CDI team and physicians
5. Which of the following should be examined when developing documentation integrity projects?
A) CC and MCC capture rates
B) Physician satisfaction surveys
C) Query rates from coding staff
D) Coding productivity statistics
Solutions:
| Question # 1 Answer: B | Question # 2 Answer: B | Question # 3 Answer: A | Question # 4 Answer: D | Question # 5 Answer: A |
