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Updated: Oct 21, 2026
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ACDIS CCDS-O Exam Syllabus Topics:
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Reference: https://acdis.org/sites/acdis/files/Handbook_CCDS_CCDS-O.pdf
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 |
| Passing Score: | 85 out of 120 scored questions |
| Real Exam Qty: | 140 questions (120 scored) |
| Exam Format: | Computer-based exam, Multiple-choice |
| Available Languages: | English |
| Related Certifications: | Certified Clinical Documentation Specialist (CCDS) |
| Recommended Training: | ACDIS Official Certification Resources ACDIS CCDS-O Exam Candidate Handbook (download via official site) |
| Exam Registration: | ACDIS Certification Page CCDS-O Certification Information |
| 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 Certified Clinical Documentation Specialist-Outpatient Sample Questions:
Given the following CMS-HCC categories, which is the correct order (highest to lowest) in the hierarchy?
- A. HCC 38, HCC 37, HCC 36, HCC 35
- B. HCC 35, HCC 36, HCC 37, HCC 38
- C. HCC 38, HCC 36, HCC 37, HCC 35
- D. HCC 35, HCC 37, HCC 36, HCC 38
Correct Answer: B 🗳️
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A patient presents to the PCP's office with LLE edema and pain for 3 days. The problem list indicates morbid obesity and a history of DVT. Vital signs are T 37.9, P 76, R 12, BP 142/88, BMI 46. Documentation states: "Patient presents with LLE edema, increased pain, and hx of DVT. Sedentary lifestyle and contraindications to anticoagulation therapy. LLE warm to touch, 3+ edema from ankle to knee. Pedal pulses 2+ on L and 3+ on R." Doppler exam indicates DVT. The PCP should be queried for which of the following diagnoses?
- A. Hypercoagulability and hypertensive urgency
- B. Morbid obesity and status of the DVT
- C. Hypercoagulability and morbid obesity
- D. Hypertensive urgency and status of the DVT
Correct Answer: B 🗳️
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Which of the following adds weight to the risk score over and above the CMS-HCC weights for individual conditions?
- A. Conversion factors
- B. Resource-based relative values
- C. Hierarchies
- D. Disease interactions
Correct Answer: D 🗳️
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An African American male enrolled in Medicaid has not been taking his blood pressure medication. Which of the following factors impacts this beneficiary's risk score?
- A. Medicaid status and race
- B. Patient noncompliance and age
- C. ICD-10-CM codes and race
- D. Medicaid status and gender
Correct Answer: D 🗳️
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Which of the following tools or processes is MOST appropriate to share with providers and administrators during a department meeting when demonstrating documentation and coding patterns?
- A. Bar graph
- B. PDSA cycle
- C. Donabedian Model
- D. Spaghetti diagram
Correct Answer: A 🗳️
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