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AHIMA CDIP Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Compliance | 4–8% | - Compliance monitoring and reporting - Legal and ethical documentation practices - AHIMA standards and regulatory requirements - Fraud and abuse prevention |
| CDI Metrics & Statistics | 14–18% | - Query response and volume tracking - DRG comparison and denial analysis - Quality audits and compliance monitoring - Benchmarking and reporting |
| Research & Education | 11–15% | - Documentation improvement training materials - Regulatory and guideline updates - Provider and staff education - Best practice research and implementation |
| 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 |
| Record Review & Document Clarification | 24–28% | - POA, HAC, SOI, ROM clarification - Compliance with query standards - Identify documentation gaps and specificity issues - Query tracking and follow-up - Ethical provider query development |
| Leadership | 17–22% | - Interdisciplinary collaboration - Provider engagement and communication - Policy and procedure creation - CDI program development and promotion |
AHIMA Certified Documentation Integrity Practitioner Sample Questions:
1. What policies should query professionals follow?
A) CMS's policies related to querying
B) All healthcare entity's policies are the same
C) Their healthcare entity's internal policies related to querying
D) AHIMA's policies related to querying
2. Which of the following diagnosis is MOST likely to trigger a second level review?
A) Heart failure
B) Acute kidney injury
C) Pneumonia
D) Malnutrition
3. Proposed changes to the inpatient prospective payment system (IPPS) take effect on
A) January 1
B) October 1
C) July 1
D) April 1
4. Based on the flowchart below, at what point might the clinical documentation integrity practitioner (CDIP) enlist the help of the physician advisor/champion?
A) E - Physician agrees with query and documents in MR
B) H - Physician fails to respond tocquery
C) C - Retrospective query opportunity identified
D) D - No retrospective query opportunity identified
5. Which of the following can be evidence of physician-hospital alignment?
A) A high physician response rate
B) A high clinical documentation integrity practitioner (CDIP) query rate
C) A high physician agreement rate
D) A low physician agreement rate
Solutions:
| Question # 1 Answer: C | Question # 2 Answer: D | Question # 3 Answer: B | Question # 4 Answer: B | Question # 5 Answer: C |





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