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AHIMA CDIP Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: CDI Metrics & Statistics | 14–18% | - DRG comparison and denial analysis - Benchmarking and reporting - Quality audits and compliance monitoring - Query response and volume tracking |
| Topic 2: Compliance | 4–8% | - AHIMA standards and regulatory requirements - Legal and ethical documentation practices - Fraud and abuse prevention - Compliance monitoring and reporting |
| Topic 3: Clinical Coding Practice | 22–26% | - Coding software and reference resources - DRG, CPT, and HCPCS code assignment - Payer requirements and reimbursement models - ICD-10-CM/PCS coding conventions and guidelines - Principal and secondary diagnosis identification |
| Topic 4: Research & Education | 11–15% | - Best practice research and implementation - Regulatory and guideline updates - Provider and staff education - Documentation improvement training materials |
| Topic 5: Record Review & Document Clarification | 24–28% | - Identify documentation gaps and specificity issues - Compliance with query standards - POA, HAC, SOI, ROM clarification - Query tracking and follow-up - Ethical provider query development |
| Topic 6: Leadership | 17–22% | - Interdisciplinary collaboration - Policy and procedure creation - CDI program development and promotion - Provider engagement and communication |
AHIMA Certified Documentation Integrity Practitioner Sample Questions:
1. 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) Reliable
B) Legible
C) Complete
D) Precise
2. Automated registration entries that generate erroneous patient identification-possibly leading to patient safety and quality of care issues, enabling fraudulent activity involving patient identity theft, or providing unjustified care for profit-is an example of a potential breach of:
A) Auditing integrity
B) Authorship integrity
C) Patient identification and demographic accuracy
D) Documentation integrity
3. Which of the following is an example of a hospital-acquired condition when not present on admission?
A) Pressure ulcer stage II
B) Iatrogenic pneumothorax with lung biopsy
C) Iatrogenic pneumothorax with venous catheterization
D) Pressure ulcer stage III
4. The correct coding for insertion of a dialysis catheter into the right internal jugular vein with the tip ending in the cavoatrial junction is
A) 05HP33Z Insertion of infusion device into right external jugular vein, percutaneous approach
B) 05HM33Z Insertion of infusion device into right internal jugular vein, percutaneous approach
C) 02H633Z Insertion of infusion device into right atrium, percutaneous approach
D) 02HV33Z Insertion of infusion device into superior vena cava, percutaneous approach
5. Review the following query to determine if it is compliant:
Dr. Jones, this patient had a sodium level of 126 on admission and was started on a 0.9% saline IV. Can you indicate what condition is being treated?
Dehydration
Hyponatremia
Hypernatremia
Chronic kidney disease (indicate stage)
Other (please specify)
A) No, query is noncompliant as it does not provide the option of "unable to determine".
B) Yes, query is compliant as it provides clinical indicators and several options for response.
C) No, query is noncompliant as one of the multiple-choice options is clinically irrelevant.
D) Yes, query is compliant as it offers the minimum number of multiple-choice answers ..
Solutions:
| Question # 1 Answer: A | Question # 2 Answer: C | Question # 3 Answer: D | Question # 4 Answer: B | Question # 5 Answer: C |
