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ACDIS CCDS-O Exam Syllabus Topics:

TopicDetails
Topic 1
  • Healthcare regulations, reimbursement, and documentation requirements related to the Official Guidelines for
Topic 2
  • 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 3
  • Coding and Reporting, the Outpatient Prospective Payment System (OPPS), and provider coding
Topic 4
  • Risk Adjustment Models and Impact of Documentation and Coding: Covers CMS-HCC model fundamentals, RAF scoring, Medicare Advantage payments, hierarchies, disease interactions, and compliant HCC reporting requirements.
Topic 5
  • Quality, Regulatory, and Health Initiatives: Covers population health, MSSP, ACO models, MACRA
  • MIPS, compliant query development, RADV audits, OIG compliance, problem list maintenance, and HIPAA requirements in outpatient CDI.
Topic 6
  • 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

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ACDIS Certified Clinical Documentation Specialist-Outpatient Sample Questions:

ICD-10-CM code assignment can be supported by documentation from someone other than the patient's provider in which of the following circumstances?

  • A. Site of ostomy
  • B. Stage of pressure ulcer
  • C. Anatomic site of previous amputation
  • D. Type of obesity
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

Explanation: Only visible for ExamsLabs members. You can sign-up / login (it's free).

HCC category assignment methodology is similar to which of the following?

  • A. 835 claim submission
  • B. DRG diagnostic categories
  • C. ICD-10-PCS coding
  • D. CPT coding
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

Explanation: Only visible for ExamsLabs members. You can sign-up / login (it's free).

Provider documentation states: "Patient is here for follow-up for multiple chronic conditions, including COPD, HTN, DM, and alcohol abuse. She admits to drinking more than she has in the past, starting in the early morning and consumes at least a pint a day. Her BP today is elevated at 165/89. Discussed medications and diet. As she continues to be dependent on alcohol, several treatment options were offered. She stated she would think about it." Which of the following groups of diagnoses is supported by the clinical indicators described?

  • A. DM Type 2 with complications, COPD, alcohol dependence
  • B. DM Type 2 without complications, HTN, alcohol dependence
  • C. DM Type 2 with complications, COPD, HTN, alcohol use
  • D. DM Type 2 without complications, HTN, alcohol abuse
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

Explanation: Only visible for ExamsLabs members. You can sign-up / login (it's free).

Which of the following is a leading query?

  • A. "The documentation includes modifications for current Celexa dosages. Can you please identify the condition treated with this medication?"
  • B. "Your documentation states the patient drinks a 6-pack of beer nightly. Does this patient have alcohol dependence? Yes/No (circle one)"
  • C. "The patient has a past medical history of RUL lung cancer. Should lung cancer be classified as: A) currently being treated, B) History of lung CA?"
  • D. "The patient has a BMI of 42 per the nursing documentation. Does this patient have a medically relevant diagnosis to accompany the BMI? Please select one of the following options. A) morbid obesity, B) obesity, C) overweight, D) Other____, E) Clinically undetermined"
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

Explanation: Only visible for ExamsLabs members. You can sign-up / login (it's free).

A morbidly obese patient with a BMI of 45 who is reliant on CPAP at night is likely to have which of the following conditions?

  • A. Heart failure
  • B. Pulmonary edema
  • C. Alveolar hypoventilation
  • D. Essential hypertension
Reveal Solution  Discussion  0

Correct Answer: C  🗳️

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