Exam Code: CDIP
Exam Name: Certified Documentation Integrity Practitioner
Certification Provider: AHIMA
Corresponding Certification: AHIMA CDI
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AHIMA CDIP Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Record Review & Document Clarification- Review Clinical Records
  • 1. Clarify clinical documentation with providers
  • 2. Identify documentation gaps and improvement areas
Topic 2: Compliance- Regulatory and Compliance Fundamentals
  • 1. Understand documentation requirements and compliance
  • 2. Apply official guidelines (e.g., ICD-10-CM/PCS)
Topic 3: Clinical Coding Practice15–18%- Coding Application and Resources
  • 1. Use reference resources for code assignment
  • 2. Assign and sequence diagnosis and procedure codes
  • 3. Understand DRG and coding conventions
Topic 4: CDI Metrics & Statistics- Measure and Analyze CDI Performance
  • 1. Interpret documentation integrity data
  • 2. Apply key CDI metrics
Topic 5: Education and Leadership Development21–26%- Promote Documentation Integrity
  • 1. Develop and nurture collaborative relationships
  • 2. Promote CDI initiatives organization-wide
  • 3. Support multidisciplinary team documentation efforts

AHIMA Certified Documentation Integrity Practitioner Sample Questions:

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. Chief Financial Officer
  • B. CDI manager
  • C. Physician advisor/champion
  • D. CDI practitioner
Reveal Solution  Discussion  0

Correct Answer: C  🗳️

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Which of the following is an example of a hospital-acquired condition when not present on admission?

  • A. Iatrogenic pneumothorax with venous catheterization
  • B. Pressure ulcer stage III
  • C. Iatrogenic pneumothorax with lung biopsy
  • D. Pressure ulcer stage II
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

Explanation: Only visible for VCE4Plus members. You can sign-up / login (it's free).

Which of the following individuals is the first line of escalation for an unanswered query?

  • A. CDI Manager
  • B. Medical Director
  • C. CDI Steering Committee
  • D. HIM/Coding Manager
Reveal Solution  Discussion  0

Correct Answer: A  🗳️

Explanation: Only visible for VCE4Plus members. You can sign-up / login (it's free).

Several physicians at a local hospital are having difficulty providing adequate documentation on patients admitted with a diagnosis of pneumonia with or without clinical indications of gram-negative pneumonia. Subsequently, clinical documentation integrity practitioners (CDIPs) are altering health records. Which policy and procedure should be developed to ensure compliant practice?

  • A. Accreditation standards
  • B. Quality improvement standards
  • C. Performance standards
  • D. Professional ethical standards
Reveal Solution  Discussion  0

Correct Answer: D  🗳️

Explanation: Only visible for VCE4Plus members. You can sign-up / login (it's free).

Which of the following should be shared to ensure a clear sense of what clinical documentation integrity (CDI) is and the CDI practitioner's role within the organization?

  • A. Mission
  • B. Milestones
  • C. Review schedule
  • D. Productivity standards
Reveal Solution  Discussion  0

Correct Answer: A  🗳️

Explanation: Only visible for VCE4Plus members. You can sign-up / login (it's free).

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