Study with CCDS Actual Test Questions
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Last Updated: Nov 13, 2026
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ACDIS CCDS Practice Q&A's
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ACDIS CCDS Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Anatomy and physiology, pathophysiology, pharmacology, and medical terminology | 19.17% | - Clinical conditions and clinical indicators - Anatomy, physiology, pathophysiology, pharmacology, and terminology |
| Healthcare facility CDI program analysis | 8.33% | - Data analysis, forecasting, and performance measurement - CDI productivity, provider response, CMI, and program metrics |
| Official Guidelines for Coding and Reporting | 14.17% | - Coding guidelines, AHA Coding Clinic, HACs, and POA indicators - Principal and secondary diagnosis assignment |
| Impact of reportable diagnoses on quality of care | 8.33% | - Quality metrics, reporting programs, and financial impact - Mortality, severity of illness, and risk of mortality |
| Medical record documentation | 19.17% | - Documentation requirements and diagnosis or procedure code assignment - Documentation clarification and compliant physician queries |
| Healthcare regulations, reimbursement, and documentation requirements related to the IPPS | 12.5% | - IPPS, MS-DRGs, reimbursement, and medical necessity - CC/MCC, CMI, Medicare contractors, and compliance |
| Communication skills | 9.17% | - Physician education and effective communication - CDI and coding roles and interdisciplinary collaboration |
| Professionalism, ethics, and compliance | 9.17% | - Query compliance, DRG creep, and audit risks - Confidentiality, DRG compliance, and ethical CDI practices |
ACDIS Certified Clinical Documentation Specialist Sample Questions:
When a physician documents the abbreviation "HCAP" in the health record, the BEST action for a CDI specialist to take is to:
- A. Query the physician for the specificity of the pneumonia
- B. Assign the working code for pneumonia
- C. Query the physician for healthcare-acquired pneumonia
- D. Assign the working code for complex pneumonia
Correct Answer: A 🗳️
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A hospital's query policy states that all answered queries will be retained, but all unanswered queries that might delay billing will be permanently destroyed. What is the PRIMARY compliance concern?
- A. Selectively destroying unanswered queries undermines a consistent and auditable query-retention process
- B. Only answered queries are legally permitted in the health record
- C. All queries must remain in the permanent medical record forever
- D. Providers should never receive written queries
Correct Answer: A 🗳️
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A patient is admitted with hypertension and stage 3b chronic kidney disease. The physician does not explicitly state that the CKD is caused by hypertension. The record contains no documentation indicating that the two conditions are unrelated. Which of the following is the MOST appropriate approach when assigning the working diagnoses?
- A. Code essential hypertension and CKD separately because the provider did not establish a relationship
- B. Query the physician before recognizing hypertensive CKD
- C. Code only stage 3b CKD because hypertension does not affect the MS-DRG
- D. Recognize hypertensive CKD and additionally identify the CKD stage
Correct Answer: D 🗳️
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Which of the following is a characteristic of a reportable secondary diagnosis?
- A. Required hospital stay
- B. Decreased length of stay
- C. Increased nursing care
- D. Documented by the attending physician
Correct Answer: C 🗳️
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For FY 2026 Hospital Value-Based Purchasing, each of the four scored domains generally contributes what percentage to the Total Performance Score when all four domains are scored?
- A. 20%
- B. 25%
- C. 10%
- D. 40%
Correct Answer: B 🗳️
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