New Launch CCDS-O PDF Dumps [2026] - ACDIS CCDS-O Exam Questions

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ACDIS Certified Clinical Documentation Specialist-Outpatient Sample Questions (Q77-Q82):

NEW QUESTION # 77
Which of the following are appropriate clinical indicators to support a query related to alcohol dependency in remission?

Answer: C

Explanation:
To support a query for alcohol dependence in remission, outpatient CDI practice looks for indicators that reflect a documented history of dependence plus evidence the patient is actively maintaining sobriety or being followed for recovery status. Attendance at AA meetings together with a documented history of excessive alcohol use is a strong, direct indicator of recovery efforts and ongoing monitoring of a prior substance use disorder. This combination supports clarifying whether the provider intends to diagnose alcohol dependence in remission (versus current dependence, use without dependence, or no current disorder). By contrast, cirrhosis and elevated liver enzymes (option A) can be caused by many etiologies and do not, by themselves, establish dependence or remission status. Nausea, vomiting, and abdominal distention (option D) are nonspecific and may suggest acute illness or liver disease but are not specific to remission. Occasional social drinking with recreational drug use (option C) suggests current substance use and would not support "in remission" without additional documentation. Therefore, option B best supports a remission-related query.


NEW QUESTION # 78
A patient is seen at the clinic for a fever, and the provider documents possible Zika virus. A CDI specialist reviews the record and notes that a positive serology test indicates the Zika virus. Which of the following should the CDI specialist do NEXT?

Answer: C

Explanation:
In the outpatient setting, diagnoses documented as uncertain (e.g., "possible," "probable," "suspected," "rule out") are generally not coded as confirmed conditions; instead, coding is based on confirmed diagnoses or, when not confirmed, the presenting signs/symptoms. Here, the provider documented only "possible Zika," which is not a confirmed diagnosis for outpatient reporting. Even though the CDI specialist sees a positive serology result, lab data alone does not replace provider diagnostic confirmation in the assessment/plan. The appropriate next step is to query the provider to confirm whether Zika is the established diagnosis based on the positive test (and whether it is clinically addressed during the encounter). If confirmed, Zika can be coded appropriately and sequenced based on the reason for the visit; if not confirmed or still under evaluation, the symptom (fever) remains first-listed. Option B is incorrect because coders do not "code the result" of a serology test as a diagnosis; they code the condition the test supports once clinically confirmed.


NEW QUESTION # 79
A patient presents to the office complaining of lower abdominal pain and burning urination. Urinalysis indicates WBC >10, positive nitrites, and leuk esterase. Documentation identifies pain, urinary frequency, and fever likely UTI. Cultures are pending for E-Coli. The patient is started on antipyretics and Levaquin. Which of the following conditions can be reported?

Answer: D

Explanation:
In the outpatient setting, uncertain diagnoses described with terms such as "likely," "probable," "suspected," or "rule out" generally are not reported as established conditions for coding purposes. Instead, the encounter is coded to the confirmed signs and symptoms documented and evaluated at that visit. Here, the provider's assessment is "likely UTI," with urine culture results still pending, so a definitive UTI diagnosis is not yet confirmed within the scenario. Likewise, the organism (E. coli) cannot be coded because it is only suspected and not confirmed until culture results are finalized. Outpatient CDI emphasizes aligning reportable diagnoses to what is clearly supported as present and addressed during the visit. The note explicitly identifies pain, urinary frequency, and fever-symptoms that drove evaluation and treatment (antipyretics and antibiotic initiation). Between the answer choices, "abdominal pain, fever, and urinary frequency" best represents the reportable conditions based on documented, evaluated symptoms without coding an uncertain infection diagnosis or an unconfirmed causative organism.


NEW QUESTION # 80
What is the goal of an MSSP program?

Answer: A

Explanation:
The Medicare Shared Savings Program (MSSP) is designed to move reimbursement away from pure volume-based payment and toward value by rewarding organizations that reduce the total cost of care for an assigned Medicare population while meeting defined quality performance requirements. In MSSP, eligible provider groups participate as Accountable Care Organizations (ACOs) and are compared against a financial benchmark. If the ACO's actual spending comes in below the benchmark and quality standards are achieved, the ACO can earn a portion of the savings-hence "shared savings." Outpatient CDI supports MSSP success by ensuring documentation accurately reflects patients' true disease burden (supporting appropriate risk adjustment for benchmarking), and that conditions addressed during visits are clearly documented as evaluated/managed to support reliable coding and quality measurement. While improving transitions of care may be a strategy that helps achieve savings and quality goals, it is not the core purpose of the program itself. Likewise, MSSP is not intended to increase fee schedule payments or simply optimize risk scores; the primary aim is participating in value-based care and sharing in savings when performance supports it.


NEW QUESTION # 81
Using the table above, which of the following HCC(s) should be assigned for documentation stating the patient has resolving AKI due to ATN, creatinine levels slowly returning to baseline, and CKD- stage 3-4?

Answer: B

Explanation:
In HCC risk adjustment, chronic kidney disease (CKD) is captured by stage-based HCCs that are hierarchical-only the highest supported CKD stage in the hierarchy is counted for RAF when multiple stages (or a range) are referenced. The documentation includes "CKD - stage 3-4," which indicates the patient's baseline CKD severity falls somewhere between stage 3 and stage 4. When selecting from the provided table, stage 4 maps to HCC 327 and is higher than stage 3 categories (HCC 328 for stage 3B and HCC 329 for stage 3 except 3B). AKI due to ATN describes an acute process and does not replace the need to capture baseline CKD stage when it is clinically relevant and documented. Outpatient CDI best practice would be to query the provider to specify the exact CKD stage (since "3-4" is imprecise), but when forced to choose from the hierarchy shown, the correct HCC assignment based on the highest stated stage in the documented range is HCC 327 (CKD stage 4).


NEW QUESTION # 82
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