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AHIMA CDIP Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Clinical Coding Practice | 15–18% | - Coding Application and Resources
|
| Topic 2: Education and Leadership Development | 21–26% | - Promote Documentation Integrity
|
| Topic 3: Record Review & Document Clarification | - Review Clinical Records
| |
| Topic 4: CDI Metrics & Statistics | - Measure and Analyze CDI Performance
| |
| Topic 5: Compliance | - Regulatory and Compliance Fundamentals
|
AHIMA Certified Documentation Integrity Practitioner Sample Questions:
1. AHIMA suggests which of the following for an organization to consider as physician response rate and agreement rate?
A) 80%/80%
B) 75%/75%
C) 80%/40%
D) 70%/50%
2. The BEST place for the provider to document a query response is which of the following?
A) An addendum to the history and physical
B) The next progress note and all subsequent notes including the discharge summary
C) The query form
D) The next progress note and the problem list
3. An otherwise healthy male was admitted to undergo a total hip replacement as treatment for ongoing primary osteoarthritis of the right hip. During the post-operative period, the patient choked on liquids which resulted in aspiration pneumonia as shown on chest x-ray.
Intravenous antibiotics were administered, and the pneumonia was
monitored for improvement with two additional chest x-rays. The patient was discharged to home in stable condition on post-operative day 5.
Final Diagnoses:
1. Primary osteoarthritis of right hip status post uncomplicated total hip replacement
2. Aspiration pneumonia due to choking on liquid episode
What is the correct diagnostic related group assignment?
A) 469 Major Joint Replacement or Reattachment of Lower Extremity with MCC
B) 179 Respiratory Infections and Inflammations without CC/MCC
C) 553 Bone Diseases and Arthropathies with MCC
D) 470 Major Joint Replacement or Reattachment of Lower Extremity without MCC
4. A clinical documentation integrity practitioner (CDIP) is developing a plan to promote the CDI program throughout a major hospital. It is proving challenging to find support. What is a primary step for the CDIP?
A) Determine primary interests of an individual or department
B) Teach coding classes to the new physicians as needed
C) Teach nursing staff about documentation integrity
D) Determine primary interests and needs as requested
5. A 77-year-old male with chronic obstructive pulmonary disease (COPD) is admitted as an inpatient with severe shortness of breath. The patient is placed on oxygen at 2 liters per minute via nasal cannula. History reveals that the patient is on oxygen nightly at home. CXR is unremarkable. The most compliant query is
A) Patient has COPD, and is on nocturnal oxygen at home and is on continuous oxygen since admission.
Please indicate if you are treating one of these diagnoses: chronic respiratory failure, acute respiratory failure, acute on chronic respiratory failure, unable to determine, other.
B) Patient has COPD, and is on nocturnal oxygen at home and is on continuous oxygen since admission.
Please order further tests so the patient's severity of illness can be captured with the most accurate coding assignment.
C) Patient has COPD and is on oxygen every night at home and has been on continuous oxygen since admission, please document chronic respiratory failure, hypoxia, acute on chronic respiratory failure.
D) Patient has COPD and is on oxygen every night at home and has been on continuous oxygen since admission. Based on these indications, please document chronic respiratory failure, acute respiratory failure, acute on chronic respiratory failure.
Solutions:
| Question # 1 Answer: A | Question # 2 Answer: D | Question # 3 Answer: A | Question # 4 Answer: A | Question # 5 Answer: A |



