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AHIMA CDIP Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Compliance | - Regulatory and Compliance Fundamentals
| |
| Topic 2: Record Review & Document Clarification | - Review Clinical Records
| |
| Topic 3: Education and Leadership Development | 21–26% | - Promote Documentation Integrity
|
| Topic 4: CDI Metrics & Statistics | - Measure and Analyze CDI Performance
| |
| Topic 5: Clinical Coding Practice | 15–18% | - Coding Application and Resources
|
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%/40%
B) 70%/50%
C) 80%/80%
D) 75%/75%
2. Which of the following can be evidence of physician-hospital alignment?
A) A high clinical documentation integrity practitioner (CDIP) query rate
B) A low physician agreement rate
C) A high physician agreement rate
D) A high physician response rate
3. A patient has a history of asthma and presents with complaints of fever, cough, general body aches, and lethargy. The patient's child was recently diagnosed with influenza. Wheezing is heard on exam. The physician documents the diagnosis as asthma exacerbation and orders nebulizer treatments of Albuterol and a 5-day course of oral Prednisone. The clinical documentation integrity practitioner (CDIP) is unsure which signs and symptoms are inherent to asthma. Which reference resource should be used to obtain this information?
A) Medical Dictionary
B) The Merck Manual
C) Physician's Desk Reference
D) AMA CPT Assistant
4. Which of the following may result in an incomplete health record deficiency being assigned to a provider?
A) A concurrent query
B) A quality query
C) An outstanding query
D) A retrospective query
5. In order to best demonstrate the impact of clinical documentation on severity of illness and risk of mortality, which of the following examples is the most effective for physicians in a hospital?
A) The latest Medicare Provider and Analysis Review data
B) Examples from the hospital's actual cases
C) Emphasize the Medicare requirements for documentation
D) Explanations on how severity of illness and risk of mortality impact reimbursement
Solutions:
| Question # 1 Answer: C | Question # 2 Answer: C | Question # 3 Answer: B | Question # 4 Answer: C | Question # 5 Answer: B |
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