Exam Name: Certified Clinical Documentation Specialist-Outpatient
Certification Provider: ACDIS
Corresponding Certification: Clinical Documentation Specialist
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Instant Download ACDIS : CCDS-O Questions & Answers as PDF & Test Engine
Updated: Oct 22, 2026
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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
ACDIS Certified Clinical Documentation Specialist-Outpatient Sample Questions:
In review of a clinic record, a CDI specialist notes the provider has directly copied and pasted a previous inpatient problem list into the current ambulatory visit note. Which of the following is the CDI specialist's BEST course of action?
- A. Assume the conditions are all relevant for this visit.
- B. Query the provider for each of the conditions on the problem list.
- C. Educate the provider regarding the concerns with copying and pasting this list.
- D. Do not code conditions that were pasted from the problem list.
Correct Answer: C 🗳️
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A 75-year-old with a PMH of chronic foot ulcer, CKD, and depression is seen by his PCP for continued fatigue and decreased urination. Labs drawn on previous day are reviewed. Patient describes extreme fatigue and no motivation. Assessment and plan include: "CKD 3 with renal failure - refer to nephrologist. Chronic nonpressure foot ulcer - home care for wound assessment. Depression - Rx for SSRI." Which of the following are the validated diagnoses that risk adjust and qualify as CMS-HCCs?
- A. Chronic non-pressure ulcer; depression
- B. Depression; renal failure
- C. CKD 3; chronic non-pressure ulcer
- D. Renal failure; CKD 3
Correct Answer: C 🗳️
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Which of the following lab values, when trended for greater than 3 months, indicates an objective measure of chronic kidney damage?
- A. GFR <60 ml/min
- B. BNP >1000 pg/mL
- C. BUN <12 mg/dL
- D. Glucose >100 mg/dL
Correct Answer: A 🗳️
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A patient is evaluated in the primary care clinic for chest pain, slight shortness of breath, and mild nausea. Documentation includes an ECG and chest x-ray to rule out MI. Which of the following diagnoses are reportable?
- A. Angina pectoris, unspecified, shortness of breath, and nausea
- B. Other chest pain, shortness of breath, and nausea
- C. Rule out MI, shortness of breath, and nausea
- D. Acute MI, chest pain, shortness of breath, and nausea
Correct Answer: B 🗳️
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Clinic visit documentation describes patient complaints of increased shortness of breath, following recent inpatient admission for pneumonia. Diagnoses include COPD - GOLD stage 3. Increase home O2 to 3 liters. Home health follow-up to begin home nebulizers, and Solu-Medrol ordered. Which of the following is the MOST significant query opportunity?
- A. Oxygen dependence
- B. Acuity of the COPD
- C. Presence of chronic respiratory failure
- D. Specificity of the organism causing the pneumonia
Correct Answer: C 🗳️
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