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Last Updated: Sep 28, 2026
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ACDIS Certified Clinical Documentation Specialist Sample Questions:
Based on the AHIMA/ACDIS Practice Brief Guidelines for Achieving a Compliant Query Practice, a leading query is one that:
- A. Clarifies the cause-and-effect relationship of two diagnoses through a yes/no format
- B. Lists a relevant diagnosis not documented by the provider as one of several multiple-choice options
- C. Is not supported by at least one clinical indicator/element in the health record
- D. Is asked of the provider while he/she is charting in the health record with the open query
Correct Answer: C 🗳️
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A patient without chronic hypercapnia develops severe respiratory distress. ABG results are pH 7.19, PaCO#
74 mmHg, and PaO# 60 mmHg. The patient requires emergent BiPAP. Which condition is MOST strongly supported for clarification?
- A. Stable hypoxemia
- B. Metabolic alkalosis
- C. Acute hypercapnic respiratory failure
- D. Chronic respiratory failure only
Correct Answer: C 🗳️
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A patient's record contains fever, tachycardia, hypotension, positive blood cultures, and treatment with IV antibiotics and fluids. No corresponding diagnosis has been documented. Which query format is MOST appropriate?
- A. No query, because CDI specialists may only clarify diagnoses already documented
- B. A neutral multiple-choice query presenting the clinical indicators and reasonable diagnostic alternatives
- C. "Does the patient have sepsis? Yes or No."
- D. "Please document sepsis because the clinical criteria are present."
Correct Answer: B 🗳️
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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-Acquired Condition Reduction Program
- B. Medicare DSH Program
- C. Hospital Value-Based Purchasing Program
- D. Hospital Readmissions Reduction Program
Correct Answer: D 🗳️
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A hospital has a total MS-DRG relative weight of 2,640 for 1,600 inpatient discharges. What is its case mix index?
- A. 1.10
- B. 1.65
- C. 4.24
- D. 0.61
Correct Answer: B 🗳️
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