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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:
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. ICD-10-CM codes and race
- C. Patient noncompliance and age
- D. Medicaid status and race
Correct Answer: A 🗳️
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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 has a less complex patient population
- C. The provider cares for patients of a higher acuity
- D. The provider is not reporting unspecified diagnoses
Correct Answer: A 🗳️
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A patient was recently admitted to the hospital for emphysema, end stage COPD, and heart failure. The patient was discharged on home oxygen. In preparation for the patient's upcoming PCP visit, the MOST important query opportunity for a CDI specialist is which of the following?
- A. Clarify indication for home oxygen
- B. Current status of emphysema
- C. Type of the heart failure
- D. Oxygen dependence
Correct Answer: A 🗳️
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A CDI specialist receives a call from a disgruntled provider regarding recent documentation queries. The provider claims to only have 15 minutes to see patients and does not have time for interruptions like this if it does not increase reimbursement. Which of the following is the BEST course of action to effectively facilitate communication?
- A. Explain to the provider that queries may affect reimbursement, however not directly, and he should comply.
- B. Call the provider's superior and report him as being non-compliant with organizational processes.
- C. Listen to the provider, agree this does not affect reimbursement, and explain that the CDI team will stop querying.
- D. Request a time at the provider's convenience to review the query process and collaborate to facilitate the best workflow.
Correct Answer: D 🗳️
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Which of the following BEST defines a risk score under the CMS-HCC model?
- A. Beneficiary and family demographics
- B. Beneficiary's individual demographic and health status
- C. Beneficiary's demographics and social determinants
- D. Beneficiary's health status and risk of mortality
Correct Answer: B 🗳️
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