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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:
PCP notes describe the presence of atrial fibrillation for 10 days. Atenolol, sotalol and rivaroxaban are ordered. Possible ablation is discussed. Identify the type of atrial fibrillation described in this clinical scenario.
- A. Permanent
- B. Paroxysmal
- C. Persistent
- D. Chronic
Correct Answer: C 🗳️
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Which of the following adds weight to the risk score over and above the CMS-HCC weights for individual conditions?
- A. Hierarchies
- B. Conversion factors
- C. Resource-based relative values
- D. Disease interactions
Correct Answer: D 🗳️
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Which statement is MOST accurate about the problem list?
- A. A CDI specialist should update the problem list to provide continuity of care.
- B. A well-maintained problem list is vital in the continuity of patient care.
- C. More diagnoses on the problem list assist the provider in caring for the patient.
- D. Problem list diagnoses should be removed after one year.
Correct Answer: B 🗳️
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In February, a patient is diagnosed with prostate cancer, which is classified as HCC 23. In October, the patient is diagnosed with prostate cancer with bone metastases, which is classified as HCC 18. Which of the following is true about the patient's risk score?
- A. The risk score will be calculated based upon HCC 18 and HCC 23 because they were both documented and coded in the same calendar year.
- B. The risk score will be calculated based upon HCC 18 because it has the highest weight in the hierarchy HCC 23.
- C. The risk score will be calculated based upon HCC 23 because it was captured first.
- D. The risk score will not be impacted by the presence of HCC 18 or HCC 23 because they are not currently being treated.
Correct Answer: B 🗳️
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In the outpatient setting, which of the following guidelines depicts the reason for the encounter/visit shown in the medical record to be chiefly responsible for the services provided?
- A. Principal diagnosis
- B. First-listed diagnosis
- C. Co-existing diagnoses
- D. Differential diagnoses
Correct Answer: B 🗳️
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