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AHIMA CDIP : Certified Documentation Integrity Practitioner

CDIP real exams

Exam Code: CDIP

Exam Name: Certified Documentation Integrity Practitioner

Updated: Aug 03, 2026

Q & A: 140 Questions and Answers

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AHIMA CDIP Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Clinical Coding Practice15–18%- Diagnosis and procedure code assignment and sequencing
- DRG assignment and reimbursement concepts
- Coding fundamentals and guidelines application
Topic 2: Record Review and Document Clarification24–28%- Post-discharge review and documentation validation
- Clinical documentation review and gap identification
- Provider query development and compliance
Topic 3: Compliance- Audit readiness and documentation integrity standards
- Regulatory compliance and ethical documentation practices
Topic 4: Education and Leadership Development21–26%- CDI project development and physician engagement
- Provider education and interdisciplinary communication
- CDI program leadership and organizational collaboration
Topic 5: CDI Metrics and Statistics- Performance metrics and reporting
- Quality and outcome measurement (SOI/ROM)

AHIMA Certified Documentation Integrity Practitioner Sample Questions:

1. A patient was admitted for high fever and pain in umbilical region. During the second day of the hospital stay, the patient stood up to use the restroom and fell on the floor, resulting in a broken chin bone. A physician noted the fall on the second day in progress note. Which further clarification should be done regarding present on admission (POA) indicator of fall?

A) No query is needed
B) Bring this case up in weekly Health Information Management meetings for further action
C) Take the case to physician advisor/champion to discuss further action
D) Query physician for POA


2. A patient presented with shortness of breath, elevated B-type natriuretic peptide, and lower extremity edema to the emergency room. During the hospitalization, a cardiac echocardiogram was performed and revealed an ejection fraction of 55% with diastolic dysfunction. The patient's history includes hypertension (HTN), chronic kidney disease (CKD) (baseline glomerular filtration rate 40) and congestive heart failure (CHF). The clinical documentation integrity practitioner (CDIP) has queried the physician to further clarify the patient's diagnosis. Which response provides the highest level of specificity?

A) Acute on chronic systolic CHF with hypertensive renal disease, CKD 3
B) Acute diastolic CHF with HTN and CKD 3
C) Acute on chronic diastolic CHF with hypertensive renal disease, CKD 3
D) Acute CHF with hypertensive renal disease, CKD 3


3. The best approach in resolving unanswered queries is to

A) review the facility's query policies and procedures
B) notify the physician advisor/champion that the physician has not responded to the query
C) contact the physician repeatedly until he/she responds to the query
D) notify the coding team of the physician's unanswered query


4. A query should be generated when the documentation is

A) conflicting
B) legible
C) complete
D) consistent


5. A physician documented the specific site of the malignancy in the medical record documentation; however, the coder is unable to locate a specific entry in the ICD-10- CM Alphabetical Index to match the specified diagnosis. Which abbreviation used in the Alphabetical Index will assist the coder in assigning the appropriate diagnosis code for the specified condition?

A) OCE
B) NEC
C) DRG
D) NOS


Solutions:

Question # 1
Answer: D
Question # 2
Answer: C
Question # 3
Answer: A
Question # 4
Answer: A
Question # 5
Answer: B

Related Certifications
AHIMA CDI
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