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AHIMA CDIP Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| CDI Metrics and Statistics | - Quality and outcome measurement (SOI/ROM) - Performance metrics and reporting | |
| Record Review and Document Clarification | 24–28% | - Post-discharge review and documentation validation - Clinical documentation review and gap identification - Provider query development and compliance |
| Compliance | - Audit readiness and documentation integrity standards - Regulatory compliance and ethical documentation practices | |
| Clinical Coding Practice | 15–18% | - DRG assignment and reimbursement concepts - Coding fundamentals and guidelines application - Diagnosis and procedure code assignment and sequencing |
| Education and Leadership Development | 21–26% | - CDI program leadership and organizational collaboration - CDI project development and physician engagement - Provider education and interdisciplinary communication |
AHIMA Certified Documentation Integrity Practitioner Sample Questions:
1. Which of the following indicates a noncompliant multiple-choice query? One that does NOT
A) allow the provider to add their own response
B) list options in alphabetical order
C) include at least four options
D) include the option of "unable to determine"
2. A query should include
A) the impact on quality
B) information from previous encounters
C) the impact of reimbursement
D) relevant clinical indicators
3. Reviewing and analyzing physician query content on a regular basis
A) assists in identifying gaps in skills and knowledge
B) facilitates physician data collection
C) aids in discussion between physician and reviewer
D) helps to calculate query response rate
4. A patient presents to the emergency room with acute shortness of breath. The patient has a history of lung cancer that has been treated previously with radiation and chemotherapy. The patient is intubated and placed on mechanical ventilation. A chest x-ray is remarkable for a pleural effusion. A thoracentesis is performed, and the cytology results show malignant cells. Diagnoses on discharge: Acute respiratory failure due to recurrence of small cell carcinoma and malignant pleural effusion. Which coding reference takes precedence for assigning the ICD-10-CM/PCS codes?
A) ICD-10-CM Official Guidelines for Coding and Reporting
B) AHA Coding Clinic for ICD-10-CM/PCS
C) AMA CPT Assistant
D) Conventions and instructions of the classification for ICD-10-CM/PCS
5. The clinical documentation integrity (CDI) manager has noted a query response rate of 60%. The CDI practitioner reports that physicians often respond verbally to the query. What can be done to improve this rate?
A) Allow physician to respond via e-mail
B) Require physicians to document responses in charts
C) Have CDI manager teaming with coding supervisor to monitor physician responses
D) Permit CDI practitioners to document physician responses in the charts
Solutions:
| Question # 1 Answer: C | Question # 2 Answer: D | Question # 3 Answer: A | Question # 4 Answer: D | Question # 5 Answer: B |
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