ACDIS CCDS-O real exam prep : Certified Clinical Documentation Specialist-Outpatient

  • Exam Code: CCDS-O
  • Exam Name: Certified Clinical Documentation Specialist-Outpatient
  • Updated: Oct 21, 2026
  • Q&As: 137 Questions and Answers

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About ACDIS CCDS-O Real Exam

The most realistic simulation

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CCDS-O exam dumps

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ACDIS CCDS-O Exam Syllabus Topics:

TopicDetails
Topic 1
  • and billing: Covers Official Coding Guidelines, OPPS reimbursement (APCs), and professional billing concepts including CPT E
  • M codes and Medicare Physician Fee Schedule documentation.
Topic 2
  • Diseases and Disease Processes and Application to the Clinical Chart Review: Covers clinical indicators across all ICD-10-CM chapters, applied to chart reviews, with recognition of medications, diagnostic tests, and abbreviations as documentation clarification triggers.
Topic 3
  • CDI Program Concepts: Department Metrics and Provider Education: Covers provider education development, CDI performance metrics including query rates, RAF progression, HCC capture, ACO
  • MSSP impact, and physician documentation's effect on quality reporting.

Reference: https://acdis.org/sites/acdis/files/Handbook_CCDS_CCDS-O.pdf

ACDIS Certified Clinical Documentation Specialist-Outpatient Sample Questions:

Question #1

Which of the following Medicare patients demonstrates the highest level of risk based on the above chart?

  • A. 72-year-old female, living in skilled nursing facility, history includes diabetes type 2, peripheral neuropathy, morbid obesity, and depression
  • B. 94-year-old female, living in skilled nursing facility, history includes diabetes type 2, peripheral neuropathy, morbid obesity, and depression
  • C. 64-year-old female, living at home, disabled due to chronic pain, history includes diabetes type 2, peripheral neuropathy, obesity, and depression
  • D. 65-year-old female, living at home, history includes diabetes type 2, obesity, and depression
Reveal Solution  Discussion  0

Correct Answer: A  🗳️

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Question #2

A female patient who underwent total hip replacement 2 weeks ago is in for a follow-up visit with her PCP. The visit note states: "Patient complains of fatigue and lethargy. Hgb on discharge was 10.4gm/dL - now is 8.6 gm/dL. Will start FeSO4 325mg po daily with food. Repeat H/H in 2 weeks. She has return visit with Ortho then." Which of the following is the BEST course of action for the CDI specialist?

  • A. Query the provider for a diagnosis related to fatigue, decreased Hgb, and FeSO4.
  • B. Instruct the provider to add iron deficiency anemia to the problem list.
  • C. Add acute blood loss anemia to the diagnoses reported on the claim.
  • D. Review the lab work referenced by the provider in the progress note for congruence.
Reveal Solution  Discussion  0

Correct Answer: A  🗳️

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Question #3

Which of the following BEST defines a risk score under the CMS-HCC model?

  • A. Beneficiary's demographics and social determinants
  • B. Beneficiary's individual demographic and health status
  • C. Beneficiary's health status and risk of mortality
  • D. Beneficiary and family demographics
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

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Question #4

Provider documentation states: "Type 2 Diabetes with bilateral peripheral arteriosclerotic disease of LE. Bilateral pedal pulses present. Review Hgb A1C and CBC. No change in treatment. Hypertension evaluated and well controlled on Lopressor." Which of the following conditions should be coded?

  • A. Diabetes with peripheral angiopathy, atherosclerosis bilateral legs, hypertension
  • B. Diabetes with peripheral angiopathy, atherosclerosis bilateral legs, diabetes with circulatory complication, hypertension
  • C. Diabetes without complications, atherosclerosis bilateral legs
  • D. Diabetes with peripheral angiopathy, hypertension
Reveal Solution  Discussion  0

Correct Answer: A  🗳️

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Question #5

Documentation states: "Patient with history of STEMI five weeks ago. Returning to office for follow-up. Problem list includes CAD, hypertension, heart failure, leukemia, malnutrition, and atrial fibrillation, all were relevant to the encounter. CBC and WBC reviewed and referred to oncologist. Follow-up with dietitian to further evaluate nutritional status." Which of the following is the MOST impactful risk adjusted query opportunity?

  • A. Differentiation of atrial fibrillation (paroxysmal, persistent, permanent)
  • B. Status (remission, or relapse) and acuity of leukemia
  • C. Severity of the malnutrition (mild, moderate, severe)
  • D. Type (diastolic, systolic, combined) and acuity of heart failure
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

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