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Updated: Oct 21, 2026
No. of Questions: 137 Questions & Answers with Testing Engine
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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 |
| Available Languages: | English |
| Passing Score: | 85 out of 120 scored questions |
| Related Certifications: | Certified Clinical Documentation Specialist (CCDS) |
| Real Exam Qty: | 140 questions (120 scored) |
| Exam Format: | Multiple-choice, Computer-based exam |
| Recommended Training: | ACDIS Official Certification Resources ACDIS CCDS-O Exam Candidate Handbook (download via official site) |
| Exam Registration: | CCDS-O Certification Information ACDIS Certification Page |
| 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 CCDS-O Exam Syllabus Topics:
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Reference: https://acdis.org/sites/acdis/files/Handbook_CCDS_CCDS-O.pdf
ACDIS Certified Clinical Documentation Specialist-Outpatient Sample Questions:
What diagnoses are included in code category N18, chronic kidney disease?
- A. Dialysis, chronic uremia, and polycystic kidney disease
- B. CKD stage 3, CKD severe, and ESRD
- C. AKI, ESRD, and dialysis
- D. GFR, ATN, and unspecified kidney failure
Correct Answer: B 🗳️
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A record review conducted prior to a primary care appointment indicates a patient has been followed for history of colon cancer. The patient is 18 months s/p bowel resection and is under treatment for LLE DVT, which required monitoring of INR - on Coumadin. The problem list also includes obesity, obstructive sleep apnea (OSA), COPD, and hypertension. Which of the following is the query opportunity?
- A. Status of ostomy
- B. Status of the COPD
- C. Status of the sleep apnea
- D. Status of colon cancer
Correct Answer: D 🗳️
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Which of the following Medicare patients demonstrates the highest level of risk based on the above chart?
- A. 72-year-old female, living in skilled nursing facility, history includes diabetes type 2, peripheral neuropathy, morbid obesity, and depression
- B. 65-year-old female, living at home, history includes diabetes type 2, obesity, and depression
- C. 94-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
Correct Answer: A 🗳️
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Which of the following BEST describes a Stage 3 pressure ulcer?
- A. Full thickness skin loss involving damage or necrosis of subcutaneous tissue
- B. Abrasion, blister, partial thickness skin loss involving epidermis and/or dermis
- C. Pre-ulcer skin changes limited to persistent focal edema
- D. Necrosis of soft tissues through to underlying muscle, tendon, or bone
Correct Answer: A 🗳️
Explanation: Only visible for Exam-Killer members. You can sign-up / login (it's free).
Which statement is MOST accurate about the problem list?
- A. More diagnoses on the problem list assist the provider in caring for the patient.
- B. A CDI specialist should update the problem list to provide continuity of care.
- C. A well-maintained problem list is vital in the continuity of patient care.
- D. Problem list diagnoses should be removed after one year.
Correct Answer: C 🗳️
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