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

CCDS-O Exam Simulator
  • Exam Code: CCDS-O
  • Exam Name: Certified Clinical Documentation Specialist-Outpatient
  • Updated: Oct 15, 2026
  • Q & A: 137 Questions and Answers
  • ACDIS CCDS-O Q&A - in .pdf

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ACDIS CCDS-O Exam Syllabus Topics:

TopicDetails
Topic 1
  • 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 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
  • 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 4
  • 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 5
  • Healthcare regulations, reimbursement, and documentation requirements related to the Official Guidelines for

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 conclusions can be drawn from the impact of a CDI program on Clinic A using the table below?

  • A. Treated a more complex population than any of the other clinics in 2023.
  • B. Consistently captured a higher RAF percentage each month in 2023 than in 2022.
  • C. Served a sicker population in 2023 than in 2022.
  • D. Providers are more engaged in 2023 than in 2022.
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

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Question #2

Which of the following therapies is MOST likely to be recommended?

  • A. Xarelto for hematemesis
  • B. Tamoxifen for chronic congestive heart failure
  • C. Ensure for morbid obesity
  • D. Metoprolol for atrial fibrillation
Reveal Solution  Discussion  0

Correct Answer: D  🗳️

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Question #3

A female patient presents for her yearly wellness check-up. Her vital signs are within normal limits with the exception of dyspnea. Her weight is 165 lbs, up 10 lbs from her previous clinic visit 2 weeks prior. Problem list includes diagnoses of obesity, COPD, heart failure, and diabetes without complications. The patient's A1c noted 9.2 up from 7.2 from previous year wellness exam. Based on the clinical indicators, which of the following medications should be evaluated and addressed during this clinic visit?

  • A. Wellbutrin and Allegra
  • B. Megace and ferrous sulfate
  • C. Metformin and methotrexate
  • D. NovoLog and Lasix
Reveal Solution  Discussion  0

Correct Answer: D  🗳️

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Question #4

The majority of E/M services are based on which of the following criteria?

  • A. New/established, site of service, and time
  • B. New/established, level of service, and age of patient
  • C. New/established, physician specialty, and level of service
  • D. New/established, site of service, and level of service
Reveal Solution  Discussion  0

Correct Answer: D  🗳️

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

Correct Answer: B  🗳️

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