] CCDS-O Learning Materials: Certified Clinical Documentation Specialist-Outpatient - CCDS-O Actual Lab Questions

ACDIS Certified Clinical Documentation Specialist-Outpatient : CCDS-O

  • Exam Code: CCDS-O
  • Exam Name: Certified Clinical Documentation Specialist-Outpatient
  • Updated: Oct 20, 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
  • 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 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.

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

ACDIS Certified Clinical Documentation Specialist-Outpatient Sample Questions:

Question #1

In which of the following ways does payment determination (risk score calculation) differ between HHS-HCCs and CMS-HCCs?

  • A. HHS-HCCs use the previous year's demographics/diagnoses to predict the next year's spending.
  • B. HHS-HCCs use current ICD-10-CM and CPT codes to predict the current year's spending.
  • C. HHS-HCCs use the previous year's ICD-10-CM and CPT codes to predict the next year's spending.
  • D. HHS-HCCs use the current year's demographics/diagnoses to predict the current year's spending.
Reveal Solution  Discussion  0

Correct Answer: D  🗳️

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Question #2

A patient is seen by an endocrinologist to manage his poorly controlled diabetes with peripheral neuropathy and claudication. The patient has had several toes amputated in prior years and currently has a non-healing ulcer on the left foot. The patient's additional chronic conditions consist of the following: HF, CAD, COPD, history of prostate cancer, arthritis, depression, and sleep apnea. Which of the following chronic conditions should the CDI specialist consider for future education regarding RAF impact with the endocrinologist?

  • A. History of prostate cancer, arthritis, and A1C
  • B. Sleep apnea, depression, and HF
  • C. Diabetes, amputation, and skin ulcer
  • D. CAD, diabetes, and COPD
Reveal Solution  Discussion  0

Correct Answer: C  🗳️

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Question #3

When reviewing physician metrics, a CDI specialist notes upward trends in the use of unspecified diagnoses. Which of the following diagnoses provides the BEST opportunity to positively influence the providers' RAF score in the CMS-HCC model?

  • A. Cystic fibrosis, unspecified
  • B. Angina pectoris, unspecified
  • C. Arthropathic psoriasis, unspecified
  • D. Kaposi's sarcoma, unspecified
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

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Question #4

A prospective record review of a problem list states: "Upper respiratory infection (resolved), fractured right femoral head (resolved), metastatic melanoma (followed by oncology), hypertension, morbid obesity, and bipolar disorder." Which of the following query opportunities would provide the highest risk adjusted impact?

  • A. Specificity of bipolar disorder
  • B. Sequelae related to fracture femur
  • C. Body mass index
  • D. Status of metastatic melanoma
Reveal Solution  Discussion  0

Correct Answer: D  🗳️

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Question #5

PCP notes describe declining renal function with creatinine trending upward over the last 12 months. Nephrology consult ordered. Which of the following diagnostic tests could support a query to identify status of the patient's baseline renal function?

  • A. BUN (Blood urea nitrogen)
  • B. eGFR (glomerular filtration rate)
  • C. Creatinine
  • D. ACR (albumin to creatinine ratio)
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

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