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AHIMA CDIP Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Record Review & Document Clarification | - Review Clinical Records
| |
| Topic 2: Clinical Coding Practice | 15–18% | - Coding Application and Resources
|
| Topic 3: CDI Metrics & Statistics | - Measure and Analyze CDI Performance
| |
| Topic 4: Compliance | - Regulatory and Compliance Fundamentals
| |
| Topic 5: Education and Leadership Development | 21–26% | - Promote Documentation Integrity
|
AHIMA Certified Documentation Integrity Practitioner Sample Questions:
Educating physicians on severity of illness and risk of mortality is best accomplished by utilizing
- A. the case mix index
- B. physician report cards
- C. the DRG Expert
- D. case studies
Correct Answer: D 🗳️
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A clinical documentation integrity practitioner (CDIP) is reviewing an outpatient surgical chart. The patient underwent a laparoscopic appendectomy for acute gangrenous appendicitis. Which coding reference should be used for coding advice on correct assignment of the procedure code for proper ambulatory payment classification (APC) reimbursement?
- A. O ICD-10-CM/PCS Codebook
- B. AHA Coding Clinic for ICD-10-CM/PCS
- C. O AMA CPT Assistant
- D. The Merck Manual
Correct Answer: C 🗳️
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The best approach in resolving unanswered queries is to
- A. notify the physician advisor/champion that the physician has not responded to the query
- B. notify the coding team of the physician's unanswered query
- C. review the facility's query policies and procedures
- D. contact the physician repeatedly until he/she responds to the query
Correct Answer: C 🗳️
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The key component of the auditing and monitoring process to ensure provider query response is to
- A. audit individual providers to indicate improvement in health record documentation
- B. make sure that the language in the query is not leading or otherwise inappropriate
- C. have a process in place for ongoing education and training of the staff involved in conducting provider queries
- D. review queries retrospectively to ensure that they are completed according to documented Policies and procedures
Correct Answer: D 🗳️
The clinical documentation integrity (CDI) metrics recently showed a drastic drop in the physician query rate.
What might this indicate to the CDI manager?
- A. The decrease in hospital census has caused a lack of query opportunities
- B. CDI staff need education on identifying query opportunities
- C. The loss of a large volume of patients has impacted workflow
- D. The program is successful because documentation has improved
Correct Answer: B 🗳️
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