Prepare and pass exam with our AHIMA CDIP training material, here you will achieve your dream easily With TrainingQuiz!
Last Updated: Jul 30, 2026
No. of Questions: 140 Questions & Answers with Testing Engine
Download Limit: Unlimited
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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Research & Education | 11–15% | - Documentation improvement training materials - Provider and staff education - Regulatory and guideline updates - Best practice research and implementation |
| Topic 2: Record Review & Document Clarification | 24–28% | - Ethical provider query development - Identify documentation gaps and specificity issues - Compliance with query standards - POA, HAC, SOI, ROM clarification - Query tracking and follow-up |
| Topic 3: Compliance | 4–8% | - Legal and ethical documentation practices - Fraud and abuse prevention - AHIMA standards and regulatory requirements - Compliance monitoring and reporting |
| Topic 4: CDI Metrics & Statistics | 14–18% | - Query response and volume tracking - DRG comparison and denial analysis - Quality audits and compliance monitoring - Benchmarking and reporting |
| Topic 5: Leadership | 17–22% | - Policy and procedure creation - Provider engagement and communication - Interdisciplinary collaboration - CDI program development and promotion |
| Topic 6: Clinical Coding Practice | 22–26% | - ICD-10-CM/PCS coding conventions and guidelines - Principal and secondary diagnosis identification - DRG, CPT, and HCPCS code assignment - Payer requirements and reimbursement models - Coding software and reference resources |
1. For inpatients with a discharge principal diagnosis of acute myocardial infarction, aspirin must be taken within
24 hours of arrival unless a contraindication to aspirin is
documented. How should this be documented in the health record?
A) The name of the medication (aspirin), the date and time it was last administered
B) The name of the medication (aspirin) and the date it was last administered
C) The name of the medication (aspirin), the date, time and location where it was last administered
D) The name of the medication (aspirin), the date and location where it was last administered
2. The clinical documentation integrity (CDI) manager reviewed all payer refined-diagnosis related groups (APR-DRG) benchmarking data and has identified potential opportunities for improvement. The manager hopes to develop a work plan to target severity of illness (SOI)/risk of mortality (ROM) by service line and providers. How can the manager gain more information about this situation?
A) Audit cases that have high SOI/ROM assigned by coders for education and follow-up
B) Audit focused APR-DRGs and develop education plan for CDI team and physicians
C) Audit cases for missed diagnosis by the CDI practitioner to target in the education plan
D) Audit focused cases by physicians that have a higher SOI/ROM for education plan
3. A patient receives a blood transfusion after a 400 ml blood loss during surgery. The clinical documentation integrity practitioner (CDIP) queries the physician for an associated diagnosis. The facility does not maintain queries as part of the permanent health record. What does the physician need to document for the CDIP to record the query as answered and agreed?
A) A cause-and-effect relationship between anemia and the underlying cause
B) The associated diagnosis directly on the query form
C) The associated diagnosis and the clinical rationale in the progress notes
D) That the blood loss was not clinically significant
4. Which of the following should an organization consider when developing a query retention policy and procedure?
A) If the query is considered part of the health record
B) Who should be queried
C) What the escalation process will be
D) How the query will be formatted
5. Combination codes are used to classify two diagnoses, a diagnosis with a manifestation, or a diagnosis
A) with a sequelae or late effect
B) with an associated complication
C) that is an integral part of a disease process
D) with an associated procedure
Solutions:
| Question # 1 Answer: C | Question # 2 Answer: B | Question # 3 Answer: C | Question # 4 Answer: A | Question # 5 Answer: B |
Webb
Athena
Darlene
Frederica
Joanne
Marian
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