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ACDIS CCDS-O Exam Syllabus Topics:

TopicDetails
Topic 1
  • Coding and Reporting, the Outpatient Prospective Payment System (OPPS), and provider coding
Topic 2
  • 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 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.

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

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ACDIS Certified Clinical Documentation Specialist-Outpatient Sample Questions:

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

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

Correct Answer: B  🗳️

Explanation: Only visible for Pass4Leader members. You can sign-up / login (it's free).

In which of the following situations would a yes/no query format be considered compliant?

  • A. Resolving conflicting documentation from multiple providers
  • B. Obtaining a specification of a contributing organism to an infection
  • C. Clarifying acuity of disease process
  • D. Obtaining a new (previously undocumented) diagnosis
Reveal Solution  Discussion  0

Correct Answer: A  🗳️

Explanation: Only visible for Pass4Leader members. You can sign-up / login (it's free).

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. Paroxysmal
  • B. Chronic
  • C. Permanent
  • D. Persistent
Reveal Solution  Discussion  0

Correct Answer: D  🗳️

Explanation: Only visible for Pass4Leader members. You can sign-up / login (it's free).

Which of the following actions should be taken when the documentation states: "Hemiparesis, history of CVA, and intracranial trauma?"

  • A. Report hemiparesis, history of CVA, and history of trauma.
  • B. Report hemiparesis as sequelae of CVA.
  • C. Assign the code for hemiparesis.
  • D. Query to clarify the etiology of the hemiparesis.
Reveal Solution  Discussion  0

Correct Answer: D  🗳️

Explanation: Only visible for Pass4Leader members. You can sign-up / login (it's free).

Which entity is tasked by CMS to process both Part A and Part B beneficiary claims?

  • A. Zone program integrity contractors
  • B. Risk adjustment validation contractors
  • C. Medicare administrative contractors
  • D. Recovery audit contractors
Reveal Solution  Discussion  0

Correct Answer: C  🗳️

Explanation: Only visible for Pass4Leader members. You can sign-up / login (it's free).

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