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Last Updated: Sep 28, 2026

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ACDIS CCDS Practice Q&A's

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ACDIS Certified Clinical Documentation Specialist Sample Questions:

Question #1

A physician is completing rounds when a CDI specialist identifies conflicting documentation that can be clarified immediately. Which approach is MOST appropriate?

  • A. Tell the physician which diagnosis produces the correct MS-DRG
  • B. Discuss the issue professionally with the physician and ensure the clarification process meets organizational query documentation requirements
  • C. Avoid verbal discussion because all queries must be electronic
  • D. Wait until final billing because concurrent clarification is inappropriate
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

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Question #2

A patient undergoes outpatient surgery at 9:00 AM. At 1:00 PM, while still in outpatient status, the patient develops an acute complication. The physician writes an inpatient admission order at 4:00 PM. The complication remains present at that time. How is the condition generally treated for POA purposes?

  • A. POA = U because it began during outpatient care
  • B. POA cannot apply to complications
  • C. POA = Y because it was present when inpatient admission occurred
  • D. POA = N because it occurred in the hospital
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Correct Answer: C  🗳️

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Question #3

Which of the following programs specifically reduces applicable Medicare payments by 1% for hospitals in the worst-performing quartile based on hospital-acquired-condition measures?

  • A. Hospital-Acquired Condition Reduction Program
  • B. Medicare Shared Savings Program
  • C. Hospital Value-Based Purchasing Program
  • D. Inpatient Psychiatric Facility Quality Reporting Program
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Correct Answer: A  🗳️

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Question #4

A physician documents obesity. A registered dietitian records a BMI of 38.4 kg/m². Which statement is MOST accurate?

  • A. The BMI may be obtained from the dietitian's documentation when the associated diagnosis is appropriately documented
  • B. BMI should never be reported during an inpatient admission
  • C. The BMI cannot be used because only physicians may document BMI
  • D. The BMI alone allows the coder to diagnose obesity
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Correct Answer: A  🗳️

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Question #5

When a physician documents the abbreviation "HCAP" in the health record, the BEST action for a CDI specialist to take is to:

  • A. Query the physician for the specificity of the pneumonia
  • B. Assign the working code for complex pneumonia
  • C. Assign the working code for pneumonia
  • D. Query the physician for healthcare-acquired pneumonia
Reveal Solution  Discussion  0

Correct Answer: A  🗳️

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