Get real CCDS-O exam questions for better preparation

Real ACDIS CCDS-O practice exam questions for easy pass!

Updated: Oct 15, 2026

No. of Questions: 137 Questions & Answers with Testing Engine

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CCDS-O Practice Q&A's

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ACDIS CCDS-O Exam Syllabus Topics:

TopicDetails
Topic 1
  • Healthcare regulations, reimbursement, and documentation requirements related to the Official Guidelines for
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
  • Diseases and Disease Processes and Application to the Clinical Chart Review: Covers clinical indicators across all ICD-10-CM chapters, applied to chart reviews, with recognition of medications, diagnostic tests, and abbreviations as documentation clarification triggers.
Topic 4
  • 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 5
  • and billing: Covers Official Coding Guidelines, OPPS reimbursement (APCs), and professional billing concepts including CPT E
  • M codes and Medicare Physician Fee Schedule documentation.

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

ACDIS CCDS-O Exam Overview:

Certification Vendor:ACDIS (Association of Clinical Documentation Integrity Specialists)
Exam Name:ACDIS Certified Clinical Documentation Specialist – Outpatient (CCDS-O) Examination
Exam Number:CCDS-O
Exam Format:Multiple-choice, Computer-based exam
Real Exam Qty:140 questions (120 scored)
Passing Score:85 out of 120 scored questions
Related Certifications:Certified Clinical Documentation Specialist (CCDS)
Available Languages:English
Recommended Training:ACDIS CCDS-O Exam Candidate Handbook (download via official site)
ACDIS Official Certification Resources
Exam Registration:ACDIS Certification Page
CCDS-O Certification Information
Sample Questions:ACDIS CCDS-O Sample Questions
Exam Way:Computer-based testing via Prometric test centers or remote proctoring (ProProctor).
Pre Condition:Must meet education and experience requirements (e.g., RN, MD, DO, or HIM/coding credential such as RHIA, RHIT, CCS, CPC, CRC, COC) plus approximately 1–2 years of outpatient clinical documentation experience using U.S. reimbursement systems.
Official Syllabus URL:https://acdis.org/certification/ccds-o

ACDIS Certified Clinical Documentation Specialist-Outpatient Sample Questions:

Question #1

Which of the following concepts BEST reflects how risk adjustment is related to cost efficiency metrics?

  • A. It is related to physician time spent with patient.
  • B. It is supported by interventions and procedures.
  • C. It is directly calculated from provider E&M levels.
  • D. It is applied to resource utilization measures.
Reveal Solution  Discussion  0

Correct Answer: D  🗳️

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Question #2

Progress note states: "Recent EGD identified severe hyperplasia, without obstruction. Follow-up today for Barrett's. Complains of chest pain, difficulty swallowing, 15-pound weight loss in last 12 weeks. Diagnoses-significant weight loss, cachexia, anorexia, Barrett's esophagus, and chest pain. Plan short term tube feeding-consult home health and dietitian for management." Which of the following diagnoses will trigger an HCC assignment?

  • A. Significant weight loss
  • B. Anorexia
  • C. Barrett's esophagus
  • D. Cachexia
Reveal Solution  Discussion  0

Correct Answer: D  🗳️

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Question #3

Which of the following descriptors is classified as an uncertain diagnosis?

  • A. Evidence of streptococcal pneumonia
  • B. Broad spectrum antibiotic prescribed for streptococcal pneumonia
  • C. Concern for streptococcal pneumonia
  • D. Treating a streptococcal pneumonia with antibiotic
Reveal Solution  Discussion  0

Correct Answer: C  🗳️

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Question #4

Which of the following Medicare patients demonstrates the highest level of risk based on the above chart?

  • A. 65-year-old female, living at home, history includes diabetes type 2, obesity, and depression
  • B. 94-year-old female, living in skilled nursing facility, history includes diabetes type 2, peripheral neuropathy, morbid obesity, and depression
  • C. 72-year-old female, living in skilled nursing facility, history includes diabetes type 2, peripheral neuropathy, morbid obesity, and depression
  • D. 64-year-old female, living at home, disabled due to chronic pain, history includes diabetes type 2, peripheral neuropathy, obesity, and depression
Reveal Solution  Discussion  0

Correct Answer: C  🗳️

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Question #5

Provider documentation states: "A patient is seen today with DM type 2, peripheral neuropathy with diabetic ulcer of the left great toe, hypertension, and BMI 43. O2 dependent, chronic respiratory failure due to COPD, stopped smoking 2 years ago - 84 packs per year smoking habit." Which of the following query opportunities will impact risk adjustment?

  • A. Depth of diabetic ulcer
  • B. Morbid obesity
  • C. Nicotine dependence
  • D. Diabetes with complications
Reveal Solution  Discussion  0

Correct Answer: A  🗳️

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