ACDIS Clinical Documentation Specialist CCDS Braindumps

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ACDIS Certified Clinical Documentation Specialist Sample Questions:

Question #1
A 34-year-old female was admitted from a group home with uncontrolled diabetes. A CDI specialist must query to specify the patient's mental incapacity since it makes management of the diabetes more difficult.
Which of the following terminology recognized by ICD-10-CM could result in the assignment of a comorbid condition?

A. acute intellectual disability
B. severe intellectual disability
C. acute mental incapacity
D. severe mental challenge

Question #2
A patient presents to the ED following a motor vehicle crash with a lacerated spleen. The patient's BP is 80
/60, HR is 160, and the patient receives dopamine, a 2-L saline bolus, and 3 units of PRBCs. The physician documents MVA with lacerated spleen. Based on these clinical indicators, which of the following conditions would BEST reflect the accurate acuity of this patient?

A. SIRS due to trauma
B. Acute blood loss anemia
C. Hypovolemic shock
D. Ruptured spleen

Question #3
Under the FY 2026 Hospital Value-Based Purchasing Program, hospital performance is organized into which of the following four domains?

A. Clinical care, claims accuracy, readmissions, and utilization management
B. Mortality, readmissions, reimbursement, and compliance
C. Patient safety, documentation quality, case mix, and physician engagement
D. Clinical outcomes, person and community engagement, safety, and efficiency and cost reduction

Question #4
A patient with an indwelling central venous catheter develops fever and positive blood cultures for Staphylococcus aureus. The physician documents "bacteremia" but does not establish whether the catheter caused the infection. Which action is MOST appropriate?

A. Automatically code a central-line infection
B. Assume the catheter is unrelated because bacteremia was documented first
C. Query the provider regarding the relationship between the catheter and infection
D. Code sepsis because the blood culture is positive

Question #5
A CDI specialist reviews a prior hospitalization and finds that the patient previously had chronic systolic heart failure. During the current admission, the provider documents only "history of CHF," although the patient remains on long-term heart-failure therapy. What is the BEST approach?

A. Ignore all prior-encounter information under every circumstance
B. Use prior documentation as clinically relevant context but obtain current provider clarification when the diagnosis materially affects the present record
C. Assign acute systolic heart failure because the diagnosis appeared previously
D. Automatically copy chronic systolic heart failure into the current encounter

Solutions: