AHIMA Certified Documentation Integrity Practitioner : CDIP exam dump

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AHIMA CDIP Exam Syllabus Topics:

Section	Weight	Objectives
Education and Leadership Development	21–26%	- Promote Documentation Integrity 1. Support multidisciplinary team documentation efforts 2. Promote CDI initiatives organization-wide 3. Develop and nurture collaborative relationships
CDI Metrics & Statistics		- Measure and Analyze CDI Performance 1. Apply key CDI metrics 2. Interpret documentation integrity data
Clinical Coding Practice	15–18%	- 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
Compliance		- Regulatory and Compliance Fundamentals 1. Understand documentation requirements and compliance 2. Apply official guidelines (e.g., ICD-10-CM/PCS)
Record Review & Document Clarification		- Review Clinical Records 1. Identify documentation gaps and improvement areas 2. Clarify clinical documentation with providers

AHIMA Certified Documentation Integrity Practitioner Sample Questions:

1. The BEST place for the provider to document a query response is which of the following?

A) The next progress note and all subsequent notes including the discharge summary
B) The next progress note and the problem list
C) An addendum to the history and physical
D) The query form

2. Which of the following is MOST likely to trigger a second-level review?

A) A diagnosis that impacts a quality-of-care measure
B) A procedure code that increases reimbursement
C) An account coded before the discharge summary is available
D) A record with multiple major complicating conditions (MCCs)

3. An increase in claim denials has prompted a clinical documentation integrity (CDI) manager to engage the CDI physician advisor/champion in an effort to avoid future denials. How does this strategy impact the goal?

A) The CDI manager will exclusively provide education.
B) Physicians will learn documentation integrity practices from peers.
C) Physicians can manage the documentation integrity process.
D) Clinicians will not require documentation integrity education.

4. The best approach in resolving unanswered queries is to

A) review the facility's query policies and procedures
B) notify the physician advisor/champion that the physician has not responded to the query
C) contact the physician repeatedly until he/she responds to the query
D) notify the coding team of the physician's unanswered query

5. The clinical documentation integrity practitioner (CDIP) is reviewing tracking data and has noted physician responses are not captured in the medical chart. What can be done to improve this process?

A) Require the CDIP to call physicians to follow up
B) Allow physician responses via e-mail
C) Provide education to physicians on query process
D) Update medical records with unsigned physician responses

Solutions:

Question # 1 Answer: B

Question # 2 Answer: D

Question # 3 Answer: B

Question # 4 Answer: A

Question # 5 Answer: C