ITDumpsKR에서 출시한 ACDIS인증CCDS 덤프는 시험문제점유율이 가장 높은 시험대비자료입니다. 실제ACDIS인증CCDS시험문제유형과 같은 형식으로 제작된ACDIS인증CCDS 시험공부자료로서ITDumpsKR덤프의 실용가치를 자랑하고 있습니다.덤프를 공부하여 시험불합격하시면 덤프비용은 환불처리해드립니다.
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Healthcare facility CDI program analysis | 8.33% | - CC/MCC capture - CDI specialist productivity metrics - Case mix index (CMI) - Tracking and trending physician, department, and hospital performance - Basic computer and software application skills - Publicly reported data - Severity of illness and risk of mortality - Hospital-specific financial data - High-frequency DRGs - PEPPER data - Patient Safety Indicators - Provider response rates - Hospital Value-Based Purchasing measures - Physician performance measurement - CDI program forecasting |
| Topic 2: Healthcare regulations, reimbursement, and documentation requirements related to the IPPS | 12.5% | - Coding and billing practices vulnerable to denial - Case mix index (CMI) - Medical staff and clinical staff documentation responsibilities - Medicare Severity Diagnosis Related Groups (MS-DRGs) - IPPS and its updates and revisions - Medicare contractors and their impact on CDI - Documentation and medical necessity of setting - Complication/comorbidity (CC) - Documentation impact on IPPS reimbursement - Inpatient admission criteria and CMS Two-Midnight Rule - Major complication/comorbidity (MCC) - Principal diagnosis and medical necessity |
| Topic 3: Anatomy and physiology, pathophysiology, pharmacology, and medical terminology | 19.17% | - Diseases and disorders of the skin, subcutaneous tissue, and breast - Diseases and disorders of the kidney and urinary tract - HIV infections - Diseases and disorders of the hepatobiliary system - Diseases and disorders of the blood and blood-forming organs and immunological disorders - Pharmaceuticals and disease processes - Endocrine, nutritional, and metabolic diseases and disorders - Infectious and parasitic diseases - Diseases and disorders of the musculoskeletal system - Diseases and disorders of the circulatory system - Diagnostic tests as clinical indicators - Mental diseases and disorders - Medications as clinical indicators - Myeloproliferative diseases and disorders and poorly differentiated neoplasms - Clinical indicators and query opportunities by Major Diagnostic Category - Diseases and disorders of the nervous system - Injuries, poisonings, and toxic effects of drugs - Diseases and disorders of the digestive system - Diseases and disorders of the respiratory system - Standard medical abbreviations - Alcohol/drug use and alcohol/drug-induced organic brain disorders |
| Topic 4: Impact of reportable diagnoses on quality of care | 8.33% | - Quality data from record abstraction and claims data - 30-day mortality measures - Hospital-Acquired Condition Reduction Program - Documentation and code assignment impact on mortality index - Hospital Value-Based Purchasing - Healthcare-associated infections and complication codes - Hospital Readmissions Reduction Program - Mortality reviews and observed/expected ratios - Hospital Inpatient Quality Reporting Program - Patient Safety Indicators - CDI impact on Hospital Value-Based Purchasing - Coded data elements affecting Patient Safety Indicators |
| Topic 5: Professionalism, ethics, and compliance | 9.17% | - Compliance risks indicated by PEPPER - CDI department goals beyond reimbursement - Leading queries - Potential DRG creep - Medical record confidentiality - DRG compliance initiatives |
| Topic 6: Communication skills | 9.17% | - Reconciling CDI working DRGs with final coded DRGs - Roles and responsibilities of CDI specialists - Effective and non-confrontational physician communication - Verbal versus written physician communication - Physician education forms and tools - Educational presentations for healthcare departments and administration - Roles and responsibilities of coders working with CDI departments |
| Topic 7: Medical record documentation | 19.17% | - Physician query formats - Types of physician queries - When a physician query is warranted - Compliant and noncompliant queries - Provider role and diagnosis code assignment - Health record elements used for diagnosis and procedure code assignment - Addressing diagnoses without clinical support - Clinical indicators - Situations in which queries are not appropriate - Translating clinical indicators into compliant queries - Documentation requiring clarification - ACDIS/AHIMA Guidelines for Achieving a Compliant Query Practice |
| Topic 8: Official Guidelines for Coding and Reporting | 14.17% | - Working DRG assignment for multiple diagnoses - Present on admission indicators - Principal diagnosis assignment - AHA Coding Clinic - Hospital-acquired conditions - Coding guidelines for principal diagnosis selection - Secondary diagnosis assignment - Official Guidelines for Coding and Reporting updates - Discharge dispositions and transfers |
CCDS인증시험은ACDIS사의 인중시험입니다.ACDIS인증사의 시험을 패스한다면 it업계에서의 대우는 달라집니다. 때문에 점점 많은 분들이ACDIS인증CCDS시험을 응시합니다.하지만 실질적으로CCDS시험을 패스하시는 분들은 너무 적습니다.전분적인 지식을 터득하면서 완벽한 준비하고 응시하기에는 너무 많은 시간이 필요합니다.하지만 우리ITDumpsKR는 이러한 여러분의 시간을 절약해드립니다.
질문 # 146
The table below shows physician performance:
Which of the following physicians will have the most favorable mortality rate on a public website, such as Healthgrades.com?
정답：D
설명：
Physician 4 has the most favorable risk-adjusted mortality rate, at 1.3, compared with Physician 1 at 1.5, Physician 2 at 2.0, and Physician 3 at 2.5. Although Physician 1 has fewer observed deaths and an observed mortality rate of 1.6%, public outcome comparisons commonly incorporate risk adjustment rather than relying solely on raw mortality. Risk adjustment attempts to account for differences in patient complexity, comorbid disease burden, demographic factors, and other characteristics that influence expected outcomes.
This is directly relevant to CDI because incomplete documentation of clinically significant comorbidities can understate patient severity and therefore adversely affect the expected mortality component of risk-adjusted performance calculations. Conversely, accurate documentation allows coded data to represent the actual severity and risk of the population being treated. Healthgrades specifically states that its mortality methodology adjusts for patient risk factors to permit more meaningful comparisons of clinical outcomes.
The CCDS content outline specifically requires knowledge of mortality indices, severity of illness/risk of mortality, physician performance, and the effect of documentation on publicly reported data.
CCDS Reference Topics: Impact of reportable diagnoses on quality of care; Healthcare facility CDI program analysis; mortality index and risk adjustment.
=========
질문 # 147
A neurologist documents acute cerebral infarction. A qualified stroke nurse records the NIH Stroke Scale score in the medical record. Which statement is MOST accurate?
정답：C
설명：
ICD-10-CM permits the NIH Stroke Scale score to be reported from documentation by an appropriate clinician other than the provider responsible for establishing the diagnosis. The underlying stroke diagnosis itself must be appropriately documented by the provider.
This is similar to other specified exceptions such as BMI, pressure-ulcer stage, coma scale values, and certain additional clinical elements for which qualified non-provider documentation may support code assignment.
The exception does not mean that a stroke nurse can independently establish cerebral infarction for coding.
Rather, once the provider has documented the stroke, the nurse's formal NIHSS assessment can supply the standardized severity measurement.
This approach recognizes that specially trained clinical professionals routinely collect and document these structured measurements as part of patient care.
If multiple NIHSS values are documented, the applicable coding instructions and timing requirements should be followed rather than simply selecting the highest score because it produces a different code.
For CDI professionals, awareness of these non-provider documentation exceptions prevents unnecessary physician queries while ensuring that important severity information is not lost.
CCDS Reference Topics: NIH Stroke Scale; cerebral infarction; non-provider documentation; coding exceptions; stroke severity.
=========
질문 # 148
A CDI manager finds that cardiology providers receive repeated queries for heart-failure acuity and type.
Which educational intervention is MOST appropriate?
정답：C
설명：
The most effective intervention is targeted, service-line-specific physician education based on actual documentation trends and clinically relevant examples.
Repeated queries for the same issue usually indicate a systematic documentation opportunity rather than isolated provider mistakes. Education should therefore show cardiologists how documentation of heart-failure type-such as systolic, diastolic, or combined-and acuity-acute, chronic, or acute on chronic- communicates the patient's clinical condition more precisely.
Using deidentified examples from the service line makes the education immediately relevant and enables physicians to recognize which clinical circumstances frequently generate clarification. Aggregate query data can demonstrate where documentation gaps occur without criticizing individual providers.
Sending an entire code book places coding responsibility on physicians and is unlikely to change documentation behavior. Stopping queries leaves unresolved clinical ambiguity. Framing the education around reduced reimbursement is also inappropriate because the goal of CDI education is accurate clinical representation, not coaching physicians toward higher-paying diagnoses.
The 2026 ACDIS/AHIMA query guidance identifies accurate representation of the patient's clinical status as the underlying purpose of CDI clarification.
CCDS Reference Topics: Physician education; communication; heart-failure specificity; query trend analysis.
=========
질문 # 149
CMS identifies the complete logic used to assign inpatient cases to MS-DRGs in which FY 2026 resource?
정답：B
설명：
The ICD-10 MS-DRG Definitions Manual contains the detailed grouper logic CMS uses for MS-DRG assignment. CMS states that the FY 2026 Definitions Manual files provide the complete documentation of ICD-10 MS-DRG grouper logic.
The manual organizes MS-DRGs by Major Diagnostic Category and includes the principal diagnoses, procedures, MCC/CC structure, exclusions, and other logic needed to understand how cases group.
As of September 2026, CMS identifies FY 2026 Version 43.1 as effective for discharges from April 1 through September 30, 2026. Version 44 begins October 1, 2026 for FY 2027.
The Physician Fee Schedule governs professional services and does not define inpatient MS-DRGs. HCAHPS concerns patient-experience measurement, while the National Correct Coding Initiative focuses primarily on coding edits designed to prevent inappropriate code combinations in other reimbursement contexts.
CDI specialists do not need to memorize every grouper pathway, but they should understand how principal diagnosis, secondary conditions, procedures, and CC/MCC classifications interact to determine the working and final MS-DRG.
CCDS Reference Topics: MS-DRG Definitions Manual; grouper logic; IPPS; current fiscal-year resources.
=========
질문 # 150
A pregnant female presents to the ED with diarrhea, cramps, nausea, and vomiting for the past 12 hours. She was admitted with enteritis due to Clostridium difficile and provided IV fluids. Which of the following coding guidelines applies to determining the principal diagnosis for this patient?
정답：D
설명：
For a pregnant patient, the first coding consideration is the Chapter 15 obstetric guideline unless the provider explicitly documents that the pregnancy is incidental to the encounter. ICD-10-CM codes from O00-O9A have sequencing priority over codes from other chapters when a condition complicates pregnancy, childbirth, or the puerperium.
Therefore, although the patient's underlying clinical disease is Clostridium difficile enteritis, the principal- diagnosis analysis begins with the applicable pregnancy-complication code. An additional infectious-disease code would then be used as appropriate to identify the specific infection. The infectious and parasitic disease chapter does not override the obstetric sequencing rules.
Signs such as diarrhea, cramps, nausea, and vomiting are also not the principal coding focus once a definitive diagnosis-C. difficile enteritis-has been established. Similarly, an etiology/manifestation sequencing convention is not the controlling rule in this scenario.
The critical CCDS concept is recognition of chapter-specific sequencing rules. A CDI specialist reviewing pregnant patients must recognize that otherwise standard principal-diagnosis logic may be superseded by obstetric instructions.
CCDS Reference Topics: Official Guidelines for Coding and Reporting-Chapter 15; principal diagnosis selection; chapter-specific sequencing.
=========
질문 # 151
......
ACDIS CCDS 덤프는 ACDIS CCDS 시험의 모든 문제를 커버하고 있어 시험적중율이 아주 높습니다. ITDumpsKR는 Paypal과 몇년간의 파트너 관계를 유지하여 왔으므로 신뢰가 가는 안전한 지불방법을 제공해드립니다. ACDIS CCDS시험탈락시 제품비용 전액환불조치로 고객님의 이익을 보장해드립니다.
CCDS유효한 덤프공부: https://www.itdumpskr.com/CCDS-exam.html