ACDIS CCDS : Certified Clinical Documentation Specialist

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ACDIS Certified Clinical Documentation Specialist Sample Questions:

Question #1
A hospital records 72 observed deaths, while its risk-adjustment model predicts 90 expected deaths. What is the observed-to-expected mortality ratio?

A. 1.25
B. 1.80
C. 1.20
D. 0.80

Question #2
A patient who underwent abdominal surgery one week ago is readmitted specifically for treatment of a postoperative wound infection documented by the surgeon as a complication of the procedure. Which condition should generally be considered for principal diagnosis selection?

A. The original condition that required surgery
B. Abdominal pain
C. The postoperative wound infection/complication
D. Fever

Question #3
Which of the following is included among the FY 2026 Hospital-Acquired Condition Reduction Program measures?

A. Case mix index
B. Patient satisfaction survey completion rate
C. CMS PSI 90
D. Query response rate

Question #4
A patient with colon cancer is admitted solely for transfusion and management of anemia caused directly by the malignancy. No chemotherapy-related adverse effect is involved. Which condition is sequenced first?

A. Weakness
B. Encounter for transfusion
C. Colon malignancy
D. Anemia in neoplastic disease

Question #5
A patient with sepsis has acute confusion, impaired attention, fluctuating mental status, and no focal neurologic findings. CT of the head is negative. The provider documents only "AMS secondary to infection." Which clarification would be MOST clinically appropriate?

A. Cerebral infarction
B. Chronic dementia
C. Acute metabolic encephalopathy
D. Transient global amnesia

Solutions: