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AHIMA CDIP Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Research & Education | 11–15% | - Best practice research and implementation - Provider and staff education - Documentation improvement training materials - Regulatory and guideline updates |
| Topic 2: Clinical Coding Practice | 22–26% | - DRG, CPT, and HCPCS code assignment - Coding software and reference resources - Payer requirements and reimbursement models - ICD-10-CM/PCS coding conventions and guidelines - Principal and secondary diagnosis identification |
| Topic 3: Record Review & Document Clarification | 24–28% | - Query tracking and follow-up - Compliance with query standards - Ethical provider query development - Identify documentation gaps and specificity issues - POA, HAC, SOI, ROM clarification |
| Topic 4: Compliance | 4–8% | - Fraud and abuse prevention - Legal and ethical documentation practices - AHIMA standards and regulatory requirements - Compliance monitoring and reporting |
| Topic 5: CDI Metrics & Statistics | 14–18% | - Benchmarking and reporting - Quality audits and compliance monitoring - DRG comparison and denial analysis - Query response and volume tracking |
| Topic 6: Leadership | 17–22% | - Policy and procedure creation - CDI program development and promotion - Interdisciplinary collaboration - Provider engagement and communication |
AHIMA Certified Documentation Integrity Practitioner Sample Questions:
Which of the following is used to measure the impact of a clinical documentation integrity (CDI) program on Centers for Medicare and Medicaid Services quality performance?
- A. Case mix index
- B. Risk of mortality
- C. Outcome measures
- D. Severity of illness
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Which of the following criteria for clinical documentation means the content of the record is trustworthy, safe, and yielding the same result when repeated?
- A. Complete
- B. Reliable
- C. Precise
- D. Legible
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Tracking denials within the clinical documentation integrity program is important to
- A. determine coding inaccuracies and educate as necessary
- B. identify documentation improvement opportunities and educate as necessary
- C. file a timely appeal if the medical center disagrees with the RAC findings
- D. confirm reimbursement was appropriate
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Which member of the clinical documentation integrity (CDI) team can help provide peer-to-peer level of education on the importance of accurate documentation and query responses?
- A. Physician advisor/champion
- B. CDI practitioner
- C. Chief Financial Officer
- D. CDI manager
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An increase in claim denials has prompted a clinical documentation integrity (CDI) manager to engage the CDI physician advisor/champion in an effort to avoid future denials. How does this strategy impact the goal?
- A. Clinicians will not require documentation integrity education.
- B. The CDI manager will exclusively provide education.
- C. Physicians can manage the documentation integrity process.
- D. Physicians will learn documentation integrity practices from peers.
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