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AHIMA CDIP Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Record Review & Document Clarification | - Review Clinical Records
| |
| Education and Leadership Development | 21–26% | - Promote Documentation Integrity
|
| Compliance | - Regulatory and Compliance Fundamentals
| |
| CDI Metrics & Statistics | - Measure and Analyze CDI Performance
| |
| Clinical Coding Practice | 15–18% | - Coding Application and Resources
|
AHIMA Certified Documentation Integrity Practitioner Sample Questions:
1. Which of the following criteria for clinical documentation means the content of the record is trustworthy, safe, and yielding the same result when repeated?
A) Complete
B) Legible
C) Reliable
D) Precise
2. Hospital-acquired condition pay provisions apply only to
A) long-term acute care hospitals
B) inpatient prospective payment system hospitals
C) inpatient psychiatric hospitals
D) critical access hospitals
3. Identify the error in the following query:
This patient's echocardiogram showed an ejection fraction of 25%. The chest x-ray showed congestive heart failure (CHF). The patient was prescribed Lasix and an angiotensin-converting enzyme inhibitor (ACEI). Is this patient's CHF systolic?
A) The query does not contain clinical indicators.
B) The query is leading.
C) The query is unclear.
D) The query contains irrelevant information.
4. The best approach in resolving unanswered queries is to
A) review the facility's query policies and procedures
B) notify the coding team of the physician's unanswered query
C) contact the physician repeatedly until he/she responds to the query
D) notify the physician advisor/champion that the physician has not responded to the query
5. The correct coding for heart failure with preserved ejection fraction is
A) 150.32 Chronic diastolic (congestive) heart failure
B) I50.30 Unspecified diastolic (congestive) heart failure
C) I50.20 Unspecified systolic (congestive) heart failure
D) I50.9 Heart failure, unspecified
Solutions:
| Question # 1 Answer: C | Question # 2 Answer: B | Question # 3 Answer: B | Question # 4 Answer: A | Question # 5 Answer: B |
