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Clinical Documentation Integrity Outpatient Microcredential

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The Clinical Documentation Integrity Outpatient Microcredential is for individuals who are responsible for the success of CDI programs and can apply documentation integrity guidance, practices, and requirements in an outpatient facility.

Assessments are administered through our partner vendor, Questionmark through and internet-based testing portal and are available 24 hours a day, 7 days per week. (Browsers that support the Questionmark platform include Google Chrome, Microsoft Edge, Firefox, and Safari.)

Candidates have two hours to complete the assessment. The assessment contains a total of 65 questions (50 scored and 15 unscored questions randomly distributed throughout the assessment). The purpose of unscored questions is to gather data on the performance of these questions. Unscored questions do not count towards a candidate's score. Question types used for the assessment may include matching, multiple-choice or multiple-select, true/false, select-a-blank, pull-down lists, ranking, and may include scenarios presented as images to assess practical application of skills.

  • Policy
    • The tasks for this domain are related to using the current best practice and policy guidance documentation to implement appropriate CDI strategies for outpatient settings.
  • Benefits and Drivers
    • The tasks for this domain are related to describing how each of the regulatory systems influence the need for CDI practices.
    • Individuals wanting to take this assessment should be familiar with the different regulatory systems, including but not limited to: the Medicare Access and CHIP Reauthorization Act, Ambulatory Payment Classification, Healthcare Common Procedure Coding System (HCPCS), social determinants of health, and more.
  • Practice
    • This domain has 15 related tasks.
    • Example of task: Explain the benefits of a properly functioning
  • Data Integrity and Quality Assurance
    • This domain has three related tasks.
    • Example task: Describe how the CDI program is used to conduct quality assurance (QA) of physician practices
  • Technology
    • This domain has two related tasks.
    • Example task: Describe how the CDI program is used to conduct QA of physician practices
  • Compliance
    • This domain has five related tasks.
    • Example task: Educate providers on proper documentation guidelines and requirements

Need additional resources to prepare for this microcredential exam?

We have supporting education available in our AHIMA store.

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