AHIMA CDIP - Certified Documentation Integrity Practitioner
- Exam Code: CDIP
- Exam Name: Certified Documentation Integrity Practitioner
- Updated: Aug 07, 2026
- Q & A: 140 Questions and Answers
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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Compliance | 4–8% | - Compliance monitoring and reporting - Legal and ethical documentation practices - Fraud and abuse prevention - AHIMA standards and regulatory requirements |
| Topic 2: Record Review & Document Clarification | 24–28% | - POA, HAC, SOI, ROM clarification - Identify documentation gaps and specificity issues - Ethical provider query development - Query tracking and follow-up - Compliance with query standards |
| Topic 3: Clinical Coding Practice | 22–26% | - Payer requirements and reimbursement models - DRG, CPT, and HCPCS code assignment - ICD-10-CM/PCS coding conventions and guidelines - Principal and secondary diagnosis identification - Coding software and reference resources |
| Topic 4: CDI Metrics & Statistics | 14–18% | - Benchmarking and reporting - DRG comparison and denial analysis - Query response and volume tracking - Quality audits and compliance monitoring |
| Topic 5: Research & Education | 11–15% | - Regulatory and guideline updates - Provider and staff education - Documentation improvement training materials - Best practice research and implementation |
| Topic 6: Leadership | 17–22% | - Interdisciplinary collaboration - CDI program development and promotion - Provider engagement and communication - Policy and procedure creation |
1. A query should be generated when documentation contains a
A) diagnosis without clinical validation
B) problem list with symptoms related to the chief complaint
C) postoperative hospital-acquired condition
D) principal diagnosis without an MCC
2. The correct coding for heart failure with preserved ejection fraction is
A) 150.32 Chronic diastolic (congestive) heart failure
B) I50.9 Heart failure, unspecified
C) I50.30 Unspecified diastolic (congestive) heart failure
D) I50.20 Unspecified systolic (congestive) heart failure
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) Determine primary interests and needs as requested
D) Teach nursing staff about documentation integrity
4. When writing a compliant query, best practice is to
A) include all relevant clinical indicators
B) direct the physician to a specific diagnosis
C) use the term "possible" to describe a condition or diagnosis when uncertain if the diagnosis is present
D) use a yes/no query format for specificity of a diagnosis
5. Tracking denials within the clinical documentation integrity program is important to
A) file a timely appeal if the medical center disagrees with the RAC findings
B) determine coding inaccuracies and educate as necessary
C) confirm reimbursement was appropriate
D) identify documentation improvement opportunities and educate as necessary
Solutions:
| Question # 1 Answer: A | Question # 2 Answer: C | Question # 3 Answer: B | Question # 4 Answer: A | Question # 5 Answer: D |
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