ACDIS CCDS-O : Certified Clinical Documentation Specialist-Outpatient

  • Exam Code: CCDS-O
  • Exam Name: Certified Clinical Documentation Specialist-Outpatient
  • Updated: Nov 12, 2026
  • Q & A: 137 Questions and Answers

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ACDIS CCDS-O Exam Syllabus Topics:

TopicDetails
Topic 1
  • 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.
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
  • 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 4
  • Healthcare regulations, reimbursement, and documentation requirements related to the Official Guidelines for
Topic 5
  • and billing: Covers Official Coding Guidelines, OPPS reimbursement (APCs), and professional billing concepts including CPT E
  • M codes and Medicare Physician Fee Schedule documentation.

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

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ACDIS Certified Clinical Documentation Specialist-Outpatient Sample Questions:

Question #1

The table below provides data indicating the use of Major Depressive Disorder (MDD) diagnosis code assignment for years 1 and 2 of an ambulatory CDI program. Based on the data and if the HCC value assigned to MDD was 0.299, which of the following should be inferred?

  • A. The number of patients increased with the difference between MDD specified and MDD, unspecified insignificant, not impacting future cost benchmarking.
  • B. The number of patients increased with an increase in use of MDD specified and a decrease in MDD, unspecified, impacting future cost benchmarking.
  • C. The number of patients increased with an equal increase in use of MDD specified and a decrease in MDD, unspecified, not impacting future cost benchmarking.
  • D. The number of patients increased with an increase in use of MDD specified and an increase in MDD, unspecified, impacting future cost benchmarking.
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

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Question #2

Based on previous documentation, which of the following diagnoses would a CDI specialist be MOST likely to bring to the provider's attention in preparation for an upcoming visit of a 70-year-old patient?

  • A. Diabetes mellitus, syncopal episode, and pharyngitis
  • B. Family history of lung cancer, atrial fibrillation, and sickle cell
  • C. Chronic obstructive lung disease, T3 compression fracture, and s/p kidney transplant
  • D. Epilepsy, chronic heart failure, and Crohn's disease
Reveal Solution  Discussion  0

Correct Answer: D  🗳️

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Question #3

Which component of the OPPS assigns payment rates based on procedure grouping?

  • A. Physician Fee Schedule
  • B. CPT codes
  • C. APCs
  • D. DRGs
Reveal Solution  Discussion  0

Correct Answer: C  🗳️

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Question #4

For outpatient/provider services, the primary sources of coding authority include the ICD-10-CM Official Guidelines for Coding and Reporting, AHA's Coding Clinic for ICD-10-CM/PCS, as well as which of the following?

  • A. ICD-10-PCS Official Guidelines for Coding and Reporting and DRG Expert
  • B. AHA's Coding Clinic for HCPCS, ICD-10-PCS Official Guidelines for Coding and Reporting, and DRG Expert
  • C. AHA's Coding Clinic for HCPCS and AMA's CPT Assistant
  • D. AHA's Coding Clinic for HCPCS and ICD-10-PCS Official Guidelines for Coding and Reporting
Reveal Solution  Discussion  0

Correct Answer: C  🗳️

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Question #5

When should the assignment of a not elsewhere classified (NEC)/other specified code be reported?

  • A. When the information in the medical record is insufficient to assign a more specific code
  • B. When the information in the medical record provides detail for when a specific code does not exist
  • C. When two codes may be required to fully describe a condition
  • D. When two conditions cannot occur together
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

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