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AHIMA CDIP Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Education and Leadership Development | 21–26% | - Promote Documentation Integrity
|
| Record Review & Document Clarification | - Review Clinical Records
| |
| Compliance | - Regulatory and Compliance Fundamentals
| |
| Clinical Coding Practice | 15–18% | - Coding Application and Resources
|
| CDI Metrics & Statistics | - Measure and Analyze CDI Performance
|
AHIMA Certified Documentation Integrity Practitioner Sample Questions:
1. Automated registration entries that generate erroneous patient identification-possibly leading to patient safety and quality of care issues, enabling fraudulent activity involving patient identity theft, or providing unjustified care for profit-is an example of a potential breach of:
A) Patient identification and demographic accuracy
B) Documentation integrity
C) Auditing integrity
D) Authorship integrity
2. When benchmarking with outside organizations, the clinical documentation integrity practitioner (CDIP) must determine if the organization is benchmarking with which of the following criteria?
A) Hospitals that are its peers
B) Hospital within its region
C) Hospital within its state
D) Hospital within its county
3. What type of laboratory test is a creatinine test?
A) Hematology
B) Serology
C) Microbiology
D) Chemistry
4. A hospital is conducting a documentation integrity project for the purpose of reducing indiscriminate use of electronic copy and paste of patient information in records by physicians. Which data should be used to quantify the extent of the problem?
A) Results of a survey of physicians that asks about documentation practices
B) Percent of insurance billings denied due to lack of record documentation
C) Incidence of redundancies in physician notes in a sample of hospital admissions
D) Number of coder queries regarding inconsistent physician record documentation
5. A 27-year-old male patient presents to the emergency room with crampy, right lower quadrant abdominal pain, a low-grade fever (101° Fahrenheit) and vomiting. The patient also has a history of type I diabetes mellitus. A complete blood count reveals mild leukocytosis (13,000/microliter). Abdominal ultrasound is ordered, and the patient is admitted for laparoscopic surgery. The patient is given an injection of neutral protamine Hagedorn insulin, in order to normalize the blood sugar level prior to surgery. Upon discharge, the attending physician documents "right lower quadrant abdominal pain due to possible acute appendicitis or probable Meckel diverticulitis".
What is the proper sequencing of the principal and secondary diagnoses?
A) Acute appendicitis, right lower quadrant abdominal pain, type I diabetes mellitus
B) Acute appendicitis, Meckel diverticulitis, type I diabetes mellitus
C) Right lower quadrant abdominal pain, acute appendicitis, Meckel diverticulitis, fever, vomiting, leukocytosis
D) Right lower quadrant abdominal pain, fever, vomiting, leukocytosis
Solutions:
| Question # 1 Answer: A | Question # 2 Answer: A | Question # 3 Answer: D | Question # 4 Answer: C | Question # 5 Answer: A |



