ACDIS CCDS Exam : Certified Clinical Documentation Specialist

ACDIS CCDS exam
  • Exam Code: CCDS
  • Exam Name: Certified Clinical Documentation Specialist
  • Updated: Sep 28, 2026
  • Q & A: 152 Questions and Answers
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ACDIS Certified Clinical Documentation Specialist Sample Questions:

Question #1

A physician documents "postoperative urinary retention" after surgery. The patient required temporary catheterization, but the surgeon indicates that urinary retention is a common expected consequence of anesthesia in this case. What should the CDI specialist do before treating the condition as a postoperative complication?

  • A. Assume the condition is a complication because it followed surgery
  • B. Delete urinary retention from the record
  • C. Automatically assign a urinary-catheter complication
  • D. Clarify whether the condition represents a complication or expected postoperative occurrence
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Correct Answer: D  🗳️

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Question #2

Which CMS program can reduce an eligible hospital's Medicare base operating DRG payments by as much as
3% because of excess readmissions?

  • A. Hospital Readmissions Reduction Program
  • B. Hospital Value-Based Purchasing Program
  • C. Medicare DSH Program
  • D. Hospital-Acquired Condition Reduction Program
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Correct Answer: A  🗳️

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Question #3

A patient is admitted with a stage 2 sacral pressure ulcer. During the hospitalization, the ulcer progresses and is documented as stage 3 at the same site. How should the pressure ulcer be reported?

  • A. Assign separate codes for the stage on admission and the highest stage reached during the hospitalization
  • B. Assign an unspecified-stage pressure-ulcer code because the stage changed
  • C. Assign only the stage 2 pressure-ulcer code
  • D. Assign only the stage 3 pressure-ulcer code
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Correct Answer: A  🗳️

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Question #4

After a month of intermittent antibiotic use, the patient is admitted. An infectious-control physician documents a diagnosis of Clostridium difficile in the inpatient medical record. Which domain of the MOST current Hospital Value-Based Purchasing program would this diagnosis impact?

  • A. Clinical care
  • B. Safety outcome
  • C. PSI 90 data
  • D. Hospital-acquired infection
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Correct Answer: B  🗳️

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Question #5

A hospital's mortality report shows 125 observed deaths and 100 expected deaths. The observed-to-expected mortality ratio is 1.25. Which interpretation is MOST accurate?

  • A. Expected mortality is 125% higher than observed
  • B. Observed mortality is 25% lower than expected
  • C. Observed mortality is 25% higher than expected
  • D. The hospital's mortality performance exactly matches expected mortality
Reveal Solution  Discussion  0

Correct Answer: C  🗳️

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