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AHIMA CDIP Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Clinical Coding Practice | 22–26% | - Payer requirements and reimbursement models - DRG, CPT, and HCPCS code assignment - ICD-10-CM/PCS coding conventions and guidelines - Coding software and reference resources - Principal and secondary diagnosis identification |
| Topic 2: Leadership | 17–22% | - CDI program development and promotion - Provider engagement and communication - Policy and procedure creation - Interdisciplinary collaboration |
| Topic 3: CDI Metrics & Statistics | 14–18% | - Benchmarking and reporting - Query response and volume tracking - DRG comparison and denial analysis - Quality audits and compliance monitoring |
| Topic 4: Research & Education | 11–15% | - Best practice research and implementation - Regulatory and guideline updates - Provider and staff education - Documentation improvement training materials |
| Topic 5: Record Review & Document Clarification | 24–28% | - Query tracking and follow-up - Identify documentation gaps and specificity issues - POA, HAC, SOI, ROM clarification - Compliance with query standards - Ethical provider query development |
| Topic 6: Compliance | 4–8% | - Fraud and abuse prevention - AHIMA standards and regulatory requirements - Legal and ethical documentation practices - Compliance monitoring and reporting |
AHIMA Certified Documentation Integrity Practitioner Sample Questions:
1. After one year, the clinical documentation integrity (CDI) program has become stagnant, and the manager plans to reinvigorate the program to better reflect the CDI efforts in the organization. What can the manager do to ensure program success?
A) Establish a CDI steering committee to build a strong foundation
B) Identify key metrics to develop program measures for coders
C) Expand the CDI program to larger areas in outpatient clinics
D) Prioritize to focus on efforts with the largest return on investment
2. Which of the following is a clinical documentation element supporting a transbronchial biopsy?
A) Pathology report documenting alveolar tissue
B) Length of procedure
C) Pathology report documenting bronchial tissue
D) Hemoptysis
3. 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) Teach coding classes to the new physicians as needed
B) Determine primary interests of an individual or department
C) Teach nursing staff about documentation integrity
D) Determine primary interests and needs as requested
4. Which of the following can be evidence of physician-hospital alignment?
A) A low physician agreement rate
B) A high physician agreement rate
C) A high physician response rate
D) A high clinical documentation integrity practitioner (CDIP) query rate
5. A clinical documentation integrity practitioner (CDIP) is looking for clarity on whether a diagnosis has been
"ruled in" or "ruled out". Which type of query is the best option?
A) Multiple-choice
B) Open-ended
C) None
D) Yes/No
Solutions:
| Question # 1 Answer: A | Question # 2 Answer: A | Question # 3 Answer: B | Question # 4 Answer: B | Question # 5 Answer: B |






