Free ACDIS CCDS-O Practice Test & Real Exam Questions

Exam Code/Number: CCDS-O
Exam Name/Title: Certified Clinical Documentation Specialist-Outpatient
Certification Provider: ACDIS
Corresponding Certification: Clinical Documentation Specialist

Exam Questions: 137
Updated On: Jun 18, 2026

Question #10

Which of the following adds weight to the risk score over and above the CMS-HCC weights for individual conditions?

A. Hierarchies

B. Resource-based relative values

C. Disease interactions

D. Conversion factors

Discussion 0

Correct Answer: C Vote an answer

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Question #11

What diagnoses are included in code category N18, chronic kidney disease?

A. Dialysis, chronic uremia, and polycystic kidney disease

B. GFR, ATN, and unspecified kidney failure

C. AKI, ESRD, and dialysis

D. CKD stage 3, CKD severe, and ESRD

Discussion 0

Correct Answer: D Vote an answer

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Question #12

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

Discussion 0

Correct Answer: D Vote an answer

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Question #13

A 62-year-old female with history of HTN, CAD, chronic cough and obesity is seen by her PCP. Which of the following treatment plans may result in a query?

A. Order placed for hemoglobin A1c (HbA1c)

B. A visit with a nutrition specialist

C. Diagnostic chest x-ray

D. Prescription written for the ACE inhibitor captopril

Discussion 0

Correct Answer: A Vote an answer

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Question #14

A provider has been determined to be a high-cost provider after a total claims cost analysis. The provider's patient panel has an overall low HCC average score. Which of the following is the MOST likely explanation regarding the low HCC average score?

A. The provider cares for patients of a higher acuity

B. The provider is failing to capture all relevant diagnoses

C. The provider has a less complex patient population

D. The provider is not reporting unspecified diagnoses

Discussion 0

Correct Answer: B Vote an answer

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Question #15

Documentation from which of the following facility settings contributes to the CMS-HCC risk score?

A. Freestanding ambulatory surgical center

B. Hospice care

C. Renal dialysis center

D. Hospital ambulatory clinic

Discussion 0

Correct Answer: D Vote an answer

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Question #16

Which of the following BEST represents performance metrics important to an outpatient CDI program?

A. Severity of illness, HCC capture rate, and Medicare Case Mix Index

B. Number of secondary diagnoses per claim, aggregate RAF score, and quality indicators

C. Medicare Case Mix Index, aggregate RAF scores, and clinical denial rate

D. HCC capture rate, unspecified code utilization rate, and query response rate

Discussion 0

Correct Answer: D Vote an answer

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Question #17

When compliantly querying providers, CDI specialists or HIM/coding professionals may

A. offer a new diagnosis, that is supported by the clinical evidence, as an option in a multiple-choice query.

B. offer diagnoses choices supported by documentation solely from previous encounters.

C. identify which diagnoses are HCCs.

D. omit clinical indicators in a query as this may be leading to the provider.

Discussion 0

Correct Answer: A Vote an answer

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Question #18

Which of the following encounters is billed as an outpatient encounter?

A. Admission for COPD exacerbation with length of stay less than two midnights

B. ED visit that leads to observation stay

C. Ambulatory surgery encounter for scheduled sigmoid resection

D. ED visit that leads to inpatient admission

Discussion 0

Correct Answer: B Vote an answer

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