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ACDIS CCDS-O - Certified Clinical Documentation Specialist-Outpatient (CCDS-O)

Last Update Feb 20, 2026

ACDIS Certification Exams Pack

Everything from Basic, plus:
  • Exam Name: Certified Clinical Documentation Specialist-Outpatient (CCDS-O)
  • 140 Questions Answers with Explanation Detail
  • Total Questions: 140 Q&A's
  • Single Choice Questions: 140 Q&A's


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Total Questions: 140
Free Practice Questions: 42

Which of the following health record elements impacts HHS-HCC risk scores?

Options:

A.

CPT codes

B.

Discharge status

C.

Gender

D.

Ethnicity

Answer
C
Explanation

The HHS-HCC risk adjustment model (used for ACA Marketplace plans) calculates a member’s risk score using a combination ofdemographic factorsanddiagnosis codesthat map to HHS-HCCs. Among the listed health record elements,genderis a core demographic variable used in the model’s coefficients because expected healthcare utilization and cost patterns differ by age/sex groupings. In outpatient CDI terms, this is why accurate demographic data capture (including sex) matters alongside complete and specific condition reporting. CPT codes do not drive HHS-HCC risk scores; the model relies on diagnosis reporting (ICD-10-CM) rather than procedure codes for risk category assignment. Discharge status is an encounter/billing element relevant to certain facility payment and quality measures, but it is not a standard HHS-HCC risk score input. Ethnicity is not used as a direct risk adjustment variable in the HHS-HCC model for score calculation. Therefore, gender is the correct element that impacts HHS-HCC risk scores.

A patient presents to the clinic with indwelling Foley catheter, symptoms of fatigue, and low back pain with BPH. Labs reveal WBC 20, and the urine culture is positive for E. coli. Prescription antibiotics are ordered for a UTI. Which of the following is the BEST query opportunity?

Options:

A.

Etiology of BPH

B.

UTI related to catheter

C.

Etiology of low back pain

D.

Leukocytosis

Answer
B
Explanation

The strongest CDI query opportunity is clarifying whether the UTI iscatheter-associated. The patient has anindwelling Foley catheter, significant leukocytosis (WBC 20), apositive urine culture for E. coli, and is being treated with antibiotics for UTI—these indicators raise a clear question about theetiology of infectionand whether it is related to the urinary catheter. In outpatient CDI practice, linking the infection to a device (when clinically supported) improves documentation accuracy, supports correct code assignment, and has important quality and compliance implications because catheter-associated UTIs are captured differently than uncomplicated UTIs. By comparison, querying the “etiology of BPH” is not supported as an immediate gap (BPH is already stated), and the “etiology of low back pain” is less directly tied to the documented treatment focus (UTI management). “Leukocytosis” is a lab finding that is already objectively supported and often represents a symptom/abnormal result rather than the principal clarification needed. Therefore, confirming whether the UTI is related to the Foley catheter is the best, most clinically anchored query.

Provider documentation states: “Patient is here for follow-up for multiple chronic conditions, including COPD, HTN, DM, and alcohol abuse. She admits to drinking more than she has in the past, starting in the early morning and consumes at least a pint a day. Her BP today is elevated at 165/89. Discussed medications and diet. As she continues to be dependent on alcohol, several treatment options were offered. She stated she would think about it.” Which of the following groups of diagnoses is supported by the clinical indicators described?

Options:

A.

DM Type 2 without complications, HTN, alcohol abuse

B.

DM Type 2 with complications, COPD, HTN, alcohol use

C.

DM Type 2 without complications, HTN, alcohol dependence

D.

DM Type 2 with complications, COPD, alcohol dependence

E.
F.
G.
Answer
C
Explanation

The clinical indicators strongly supportalcohol dependence, not merely alcohol “use” or “abuse.” The patient reports heavy, compulsive intake (early-morning drinking and at least a pint daily), and the provider explicitly documents that she “continues to be dependent on alcohol” and discusses treatment options—this aligns with a dependence-level disorder being addressed.Hypertensionis also supported because the BP is elevated (165/89) and the provider documents management activity (medications and diet counseling), meeting encounter relevance/reportability expectations.Diabetesis listed among chronic conditions, but the scenario provides no indicators of complications (no neuropathy, CKD, ulcers, retinopathy, etc.), so the supported choice is DM type 2without complicationsrather than “with complications.” Although COPD is listed in the “including” statement, no COPD-specific assessment/monitoring/treatment is described in the indicators provided, so the best-supported grouped option focuses on the conditions with clear supporting indicators and management in the note: DM2 without complications, HTN, and alcohol dependence.

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ACDIS CCDS-O FAQ'S

Find answers to the most common questions about the ACDIS CCDS-O exam, including what it is, how to prepare, and how it can boost your career.

The ACDIS CCDS-O certification is a globally-acknowledged credential that is awarded to candidates who pass this certification exam by obtaining the required passing score. This credential attests and validates the candidates' knowledge and hands-on skills in domains covered in the ACDIS CCDS-O certification syllabus. The ACDIS CCDS-O certified professionals with their verified proficiency and expertise are trusted and welcomed by hiring managers all over the world to perform leading roles in organizations. The success in ACDIS CCDS-O certification exam can be ensured only with a combination of clear knowledge on all exam domains and securing the required practical training. Like any other credential, ACDIS CCDS-O certification may require periodic renewal to stay current with new innovations in the concerned domains.

The ACDIS CCDS-O is a valuable career booster that levels up your profile with the distinction of validated competency awarded by a renowned organization. Often rated as a dream cert by several ambitious professionals, the ACDIS CCDS-O certification ensures you an immensely rewarding career trajectory. With this cert, you fulfill the eligibility criterion for advance level certifications and build an outstanding career pyramid. With the tangible proof of your expertise, the ACDIS CCDS-O certification provide you with new job opportunities or promotions and enhance your regular income.

Passing the Certified Clinical Documentation Specialist-Outpatient (CCDS-O) (CCDS-O) requires a comprehensive study plan that includes understanding the exam objectives and finding a study resource that can provide you verified and up-to-date information on all the domains covered in your syllabus. The next step should be practicing the exam format, know the types of questions and learning time management for the successful completion of your test within the given time. Download practice exams and solve them to strengthen your grasp on actual exam format. Rely only on resources that are recommended by others for their credible and updated information. Dumpstech's extensive clientele network is the mark of credibility and authenticity of its products that promise a guaranteed exam success.

In today's competitive world, the ACDIS CCDS-O certification is a ladder of success and a means of distinguishing your expertise over the non-certified peers. In addition to this, the ACDIS CCDS-O certified professionals enjoy more credibility and visibility in the job market for their candidature. This distinction accelerates career growth allowing the certified professionals to secure their dream job roles in enterprises of their choice. This industry-recognized credential is always attractive to employers and the professionals having it are paid well with an instant 15-20% increase in salaries. These are the reasons that make ACDIS CCDS-O certification a trending credential worldwide.