- Exam Code: CCDS-O
- Exam Name: Certified Clinical Documentation Specialist-Outpatient
- Certification Provider: ACDIS
- Corresponding Certification:Clinical Documentation Specialist
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ACDIS CCDS-O Exam Syllabus Topics:
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Reference: https://acdis.org/sites/acdis/files/Handbook_CCDS_CCDS-O.pdf
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ACDIS Certified Clinical Documentation Specialist-Outpatient Sample Questions:
A patient receives treatment for diabetes during a primary care visit. He has a glucose level of 240 and A1C of 7.9. The patient is prescribed Gabapentin 100mg TID. Which of the following should the CDI specialist query for?
- A. Diabetes with ketoacidosis
- B. Diabetes with chronic kidney disease
- C. Diabetes with peripheral neuropathy
- D. Diabetes with macular degeneration
Correct Answer: C 🗳️
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A provider has been determined to be a high-cost provider after a total claims cost analysis. The provider's patient panel has an overall low HCC average score. Which of the following is the MOST likely explanation regarding the low HCC average score?
- A. The provider is failing to capture all relevant diagnoses
- B. The provider is not reporting unspecified diagnoses
- C. The provider has a less complex patient population
- D. The provider cares for patients of a higher acuity
Correct Answer: A 🗳️
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Which of the following statements is true regarding RADV reviews?
- A. Diagnoses assigned by technicians are considered during RADV reviews.
- B. Conditions reported must be documented in the final visit diagnoses or facesheet of the medical record.
- C. Acceptable physician authentication includes hand-written or electronic signatures.
- D. Diagnoses assigned by a diagnostic radiologist are considered during RADV reviews.
Correct Answer: C 🗳️
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An African American male enrolled in Medicaid has not been taking his blood pressure medication. Which of the following factors impacts this beneficiary's risk score?
- A. Medicaid status and gender
- B. Medicaid status and race
- C. ICD-10-CM codes and race
- D. Patient noncompliance and age
Correct Answer: A 🗳️
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When compliantly querying providers, CDI specialists or HIM/coding professionals may
- A. identify which diagnoses are HCCs.
- B. offer a new diagnosis, that is supported by the clinical evidence, as an option in a multiple-choice query.
- C. offer diagnoses choices supported by documentation solely from previous encounters.
- D. omit clinical indicators in a query as this may be leading to the provider.
Correct Answer: B 🗳️
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