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ACDIS CCDS Exam Syllabus Topics:

Section	Weight	Objectives
Topic 1: Medical record documentation	19.17%	- Documentation clarification and compliant physician queries - Documentation requirements and diagnosis or procedure code assignment
Topic 2: Professionalism, ethics, and compliance	9.17%	- Query compliance, DRG creep, and audit risks - Confidentiality, DRG compliance, and ethical CDI practices
Topic 3: Communication skills	9.17%	- CDI and coding roles and interdisciplinary collaboration - Physician education and effective communication
Topic 4: Anatomy and physiology, pathophysiology, pharmacology, and medical terminology	19.17%	- Anatomy, physiology, pathophysiology, pharmacology, and terminology - Clinical conditions and clinical indicators
Topic 5: Healthcare regulations, reimbursement, and documentation requirements related to the IPPS	12.5%	- IPPS, MS-DRGs, reimbursement, and medical necessity - CC/MCC, CMI, Medicare contractors, and compliance
Topic 6: Official Guidelines for Coding and Reporting	14.17%	- Principal and secondary diagnosis assignment - Coding guidelines, AHA Coding Clinic, HACs, and POA indicators
Topic 7: Impact of reportable diagnoses on quality of care	8.33%	- Mortality, severity of illness, and risk of mortality - Quality metrics, reporting programs, and financial impact
Topic 8: Healthcare facility CDI program analysis	8.33%	- CDI productivity, provider response, CMI, and program metrics - Data analysis, forecasting, and performance measurement

ACDIS Certified Clinical Documentation Specialist Sample Questions:

Question #1

An arterial blood gas shows pH 7.24, PaCO# 72 mmHg, and HCO## 30 mEq/L in a patient with COPD and acute respiratory distress. Which acid-base abnormality is primarily demonstrated?

A. Metabolic alkalosis
B. Metabolic acidosis
C. Respiratory acidosis
D. Respiratory alkalosis

Reveal Solution Discussion 0

Correct Answer: C 🗳️