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AHIMA CDIP Exam Overview:
| Certification Vendor: | AHIMA (American Health Information Management Association) |
| Exam Name: | Certified Documentation Integrity Practitioner (CDIP®) Exam |
| Exam Number: | CDIP |
| Certificate Validity Period: | 2 years |
| Exam Format: | Multiple-choice, Computer-based, Scored + Pretest items |
| Related Certifications: | CCS CCS-P RHIT RHIA CHDA CHPS |
| Exam Duration: | 180 minutes |
| Passing Score: | 300 (scaled score) |
| Exam Price: | $259 (AHIMA members), $329 (non-members) |
| Available Languages: | English |
| Real Exam Qty: | 130–150 (106 scored, 34 pretest) |
| Recommended Training: | Official CDIP Preparation Course |
| Exam Registration: | AHIMA CDIP Application Pearson VUE Scheduling |
| Sample Questions: | AHIMA CDIP Sample Questions |
| Exam Way: | Computer-based testing at Pearson VUE centers or remote proctored via OnVUE |
| Pre Condition: | Meet one requirement: Associate's degree or higher; CAHIIM-approved HIM post-baccalaureate certificate; or hold active CCS, CCS-P, RHIT, or RHIA credential. Recommended: 2+ years CDI experience, coursework in medical terminology, anatomy, physiology, pathology, pharmacology |
| Official Syllabus URL: | https://www.ahima.org/certification-careers/certification-exams/cdip/ |
AHIMA CDIP Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Compliance | 4–8% | - AHIMA standards and regulatory requirements - Fraud and abuse prevention - Compliance monitoring and reporting - Legal and ethical documentation practices |
| Record Review & Document Clarification | 24–28% | - Identify documentation gaps and specificity issues - Compliance with query standards - Ethical provider query development - POA, HAC, SOI, ROM clarification - Query tracking and follow-up |
| CDI Metrics & Statistics | 14–18% | - Quality audits and compliance monitoring - Benchmarking and reporting - Query response and volume tracking - DRG comparison and denial analysis |
| Leadership | 17–22% | - Provider engagement and communication - CDI program development and promotion - Policy and procedure creation - Interdisciplinary collaboration |
| Clinical Coding Practice | 22–26% | - Coding software and reference resources - DRG, CPT, and HCPCS code assignment - Principal and secondary diagnosis identification - Payer requirements and reimbursement models - ICD-10-CM/PCS coding conventions and guidelines |
| Research & Education | 11–15% | - Provider and staff education - Regulatory and guideline updates - Best practice research and implementation - Documentation improvement training materials |
AHIMA Certified Documentation Integrity Practitioner Sample Questions:
1. Which of the following is the definition of an Excludes 2 note in ICD-10-CM?
A) Only one code can be assigned to completely describe the condition
B) Two codes can be used together to completely describe the condition
C) Neither of the codes can be assigned
D) This is not a convention found in ICD-10-CM
2. Which of the following should an organization consider when developing a query retention policy and procedure?
A) Who should be queried
B) What the escalation process will be
C) How the query will be formatted
D) If the query is considered part of the health record
3. When a change in departmental workflow is necessary, the first step is to
A) re-engineer the process
B) define the gaps and solutions
C) assess the current workflow
D) set realistic timelines
4. The clinical documentation integrity practitioner (CDIP) is reviewing tracking data and has noted physician responses are not captured in the medical chart. What can be done to improve this process?
A) Update medical records with unsigned physician responses
B) Require the CDIP to call physicians to follow up
C) Allow physician responses via e-mail
D) Provide education to physicians on query process
5. What type of laboratory test is a creatinine test?
A) Microbiology
B) Chemistry
C) Hematology
D) Serology
Solutions:
| Question # 1 Answer: B | Question # 2 Answer: D | Question # 3 Answer: C | Question # 4 Answer: D | Question # 5 Answer: B |
By Wade
