ACDIS CCDS-O Exam Topics - You’ll Be Tested in Actual Exam
For the ACDIS Certified Clinical Documentation Specialist Outpatient exam, you should understand how outpatient documentation supports accurate coding, compliant billing, and correct reimbursement under the Official Guidelines for Coding and Reporting and the Outpatient Prospective Payment System, including how diagnoses, procedures, medical necessity, and supporting details affect claim outcomes and audits. You will also need a practical grasp of common diseases and disease processes so you can connect clinical indicators, diagnostic workup, treatment, and patient response to what must appear in the chart, then identify gaps such as missing specificity, unclear cause and effect, or incomplete status of chronic conditions. Risk adjustment is another core area, focusing on how models use documented diagnoses to estimate patient complexity and expected resource use, and how weak documentation can lead to underreported risk, inaccurate data, and downstream impacts on performance measurement and revenue. CDI program concepts include how outpatient CDI teams track department metrics like query rates, agreement rates, denial trends, and documentation quality, and how they build provider education that is concise, consistent, and aligned with real workflow. Finally, you must recognize how documentation and coding influence quality, regulatory, and health initiatives, such as reporting requirements, compliance expectations, and measures tied to outcomes, patient safety, and appropriate utilization, since clear documentation helps demonstrate the care provided and supports reliable data for improvement.
ACDIS CCDS-O Exam Short Quiz
Attempt this ACDIS CCDS-O exam quiz to self-assess your preparation for the actual ACDIS Certified Clinical Documentation Specialist-Outpatient exam. CertBoosters also provides premium ACDIS CCDS-O exam questions to pass the ACDIS Certified Clinical Documentation Specialist-Outpatient exam in the shortest possible time. Be sure to try our free practice exam software for the ACDIS CCDS-O exam.
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ACDIS CCDS-O Exam Quiz
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ACDISCCDS-O
Q1:
Which of the following physician performance metrics BEST illustrates provider engagement with outpatient CDI specialist?
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AQuery response rates and problem list updates
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BProblem list updates and RAF capture rates
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CPhysician MIPS scores and query response rates
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DPhysician RAF scores and RAF capture rates
ACDISCCDS-O
Q2:
When reviewing physician metrics, a CDI specialist notes upward trends in the use of unspecified diagnoses. Which of the following diagnoses provides the BEST opportunity to positively influence the providers' RAF score in the CMS-HCC model?
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ACystic fibrosis, unspecified
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BKaposi's sarcoma, unspecified
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CArthropathic psoriasis, unspecified
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DAngina pectoris, unspecified
ACDISCCDS-O
Q3:
The table below provides data indicating the use of Major Depressive Disorder (MDD) diagnosis code assignment for years 1 and 2 of an ambulatory CDI program. Based on the data and if the HCC value assigned to MDD was 0.299, which of the following should be inferred?
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AThe number of patients increased with an equal increase in use of MDD specified and a decrease in MDD, unspecified, not impacting future cost benchmarking.
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BThe number of patients increased with an increase in use of MDD specified and a decrease in MDD, unspecified, impacting future cost benchmarking.
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CThe number of patients increased with the difference between MDD specified and MDD, unspecified insignificant, not impacting future cost benchmarking.
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DThe number of patients increased with an increase in use of MDD specified and an increase in MDD, unspecified, impacting future cost benchmarking.
ACDISCCDS-O
Q4:
review]
A record review conducted prior to a primary care appointment indicates a patient has been followed for history of colon cancer. The patient is 18 months s/p bowel resection and is under treatment for LLE DVT, which required monitoring of INR - on Coumadin. The problem list also includes obesity, obstructive sleep apnea (OSA), COPD, and hypertension. Which of the following is the query opportunity?
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AStatus of ostomy
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BStatus of the sleep apnea
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CStatus of the COPD
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DStatus of colon cancer
ACDISCCDS-O
Q5:
Which statement is MOST accurate about the problem list?
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AProblem list diagnoses should be removed after one year.
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BA well-maintained problem list is vital in the continuity of patient care.
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CMore diagnoses on the problem list assist the provider in caring for the patient.
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DA CDI specialist should update the problem list to provide continuity of care.
