無料でクラウドストレージから最新のXhs1991 CCDS-O PDFダンプをダウンロードする：https://drive.google.com/open?id=14niNJM7hmsS3yQJtTGeUzuzPEb9Zu3FO
形式に固執することなく、CCDS-O学習クイズは5分以内に取得できます。 練習資料を入手するために並んだり並んだりする必要はありません。 アスペクトをダウンロードするのに効率的であるだけでなく、レビューのプロセスを促進できます。 CCDS-Oトレーニング資料にはハラーン語は含まれておらず、すべてのページは献身的な熟練した専門家によって書かれています。 当社のウェブサイトの専門家は、複雑な概念を簡素化し、例、シミュレーション、および図を追加して、理解しにくいかもしれないことを説明します。 したがって、普通の試験官でも難なくすべての学習問題を習得できます。 さらに、CCDS-Oの候補者は、テストエンジンを使用することで自分自身に利益をもたらし、演習や回答などの多くのテスト問題を取得できます。 シラバス全体を短時間で修正するのに役立ちます。
| Certification Vendor: | ACDIS |
|---|---|
| Exam Name: | Certified Clinical Documentation Specialist-Outpatient (CCDS-O) Exam |
| Exam Number: | CCDS-O |
| Passing Score: | 85 out of 120 scored questions |
| Available Languages: | English |
| Exam Duration: | 150 minutes |
| Certificate Validity Period: | 2 years |
| Related Certifications: | Certified Clinical Documentation Specialist (CCDS) |
| Exam Format: | Multiple-choice questions, Remotely proctored or test center delivery, Computer-based |
| Exam Price: | $280 (ACDIS members), $380 (non-members), +$100 international fee |
| Real Exam Qty: | 140 (120 scored, 20 unscored) |
| Recommended Training: | CCDS-O Official Study Guide CCDS-O Exam Candidate Handbook |
| Exam Registration: | ACDIS Certification Application Prometric Scheduling |
| Sample Questions: | ACDIS CCDS-O Sample Questions |
| Exam Way: | Computer-based testing at Prometric centers or remote proctoring via ProProctor |
| Pre Condition: | RN, MD, DO, or HIM/coding certification (RHIA, RHIT, CCS, CPC, CRC, COC) + 2 years outpatient CDI experience; OR 1 year outpatient + 1 year inpatient CDI experience; minimum 2,000 hours per year |
| Official Syllabus URL: | https://acdis.org/certification/ccds-o |
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質問 # 133
An 81-year-old is seen by his family physician for continued confusion and poor memory. PMH includes HTN, GERD, and Parkinson's. The provider reviews the neurologist's consultation notes, evaluates the patient's current mental state, and addresses the diagnoses of HTN, GERD, and Parkinson's. The provider's problem list included: Dementia, GERD, HTN, and Parkinson's. Which of the following is the first-listed diagnosis?
正解：B
解説：
In the outpatient setting, the first-listed diagnosis is the condition chiefly responsible for the services provided during the encounter. Here, the stated reason for the visit is continued confusion and poor memory, and the provider specifically evaluates the patient's current mental state and references neurology consultation notes-actions that directly support assessment of a cognitive disorder. While HTN, GERD, and Parkinson's are also addressed and may be reportable if they meet encounter relevance (e.g., monitored, evaluated, assessed/managed, or treated), they are not the primary driver for today's visit based on the presenting complaint. Outpatient documentation and coding guidance emphasizes sequencing the diagnosis that best explains the visit's main purpose first, with additional coexisting conditions listed afterward when they impact care. Since "dementia" is on the active problem list and aligns with the patient's cognitive symptoms and the physician's mental-status evaluation, it is the most appropriate first-listed diagnosis among the options.
質問 # 134
A patient is evaluated in the clinic. Documentation states: "HIV positive, gravida 1 at 24 weeks." Which of the following conditions will be coded and in which sequence based on the documentation?
正解：A
解説：
In outpatient coding, selection and sequencing must follow ICD-10-CM Official Guidelines, including obstetric chapter rules. When HIV is documented in a pregnant patient, the pregnancy complication code is sequenced first because the pregnancy status frames the encounter and drives the obstetric complication coding structure. The phrase "HIV positive" (without documentation of HIV-related illness or "HIV disease") is treated as asymptomatic HIV infection status, which aligns with the status concept rather than active HIV disease. Therefore, the correct approach is to code pregnancy complicated by asymptomatic HIV first (obstetric complication category), followed by the HIV status code to fully describe the condition affecting the pregnancy. Options that place "pregnancy" second do not follow obstetric sequencing conventions, and options that assume "HIV disease" overstep the documentation because "HIV positive" alone does not confirm symptomatic HIV disease. Outpatient CDI best practice would be to query if the provider intends HIV disease versus asymptomatic status, but based strictly on the given statement, pregnancy with asymptomatic HIV is most appropriate.
質問 # 135
A patient presents to the clinic for follow up of type 2 diabetes. The patient is also noted to have peripheral neuropathy. The patient has COPD and is found to have no recent exacerbations. The patient also has a history of depression, reported as stable. Which of the following CMS-HCCs will be captured for this visit?
HCC 17: Diabetes with Acute Complications
HCC 18: Diabetes with Chronic Complications
HCC 19: Diabetes without Complications
HCC 58: Major Depressive, Bipolar and Paranoid Disorders
HCC 111: Chronic Obstructive Pulmonary Disease
正解：C
解説：
In the CMS-HCC model, diabetes categories are hierarchical, meaning you capture the highest supported diabetes HCC for the year, not multiple diabetes HCCs simultaneously. Type 2 diabetes with peripheral neuropathy represents a chronic diabetic complication, so it maps to HCC 18 (Diabetes with Chronic Complications) rather than HCC 19 (without complications) or HCC 17 (acute complications). COPD is documented as present and clinically relevant (even without an exacerbation) and therefore maps to HCC 111 (Chronic Obstructive Pulmonary Disease) when it is assessed/managed as part of the visit. "History of depression, stable" does not necessarily meet the threshold for HCC 58, which is reserved for specific serious psychiatric diagnoses (e.g., major depressive disorder, bipolar disorder, paranoid disorders). A general "depression" history, especially if not specified as major depressive disorder and not actively addressed, often will not support HCC 58 capture. Therefore, the visit captures HCC 18 and HCC 111 only.
質問 # 136
When evaluating a CDI specialist's performance, which of the following expectations is held to the same standard for both inpatient and outpatient initiatives?
正解：A
解説：
Across both inpatient and outpatient CDI, the single expectation that must remain consistent is query compliance. While productivity targets, the types of query opportunities, and the way "impact" is measured can differ significantly by setting (e.g., DRG/CC-MCC focus in inpatient vs. HCC capture, specificity, and MEAT support in outpatient), the compliance framework for querying does not change. A compliant query must be clinically supported, non-leading, clearly written, and must allow the provider to independently determine the most accurate documentation based on the record. It should include relevant clinical indicators, present reasonable options (including "other"/"unable to determine" when appropriate), and avoid language that appears to request diagnoses for payment purposes. These principles protect documentation integrity, support defensible coding, and reduce audit risk regardless of whether the encounter is hospital-based or ambulatory. By contrast, "review productivity" and "revenue impact" vary widely by program design and setting, and "query opportunities" differ because inpatient vs. outpatient have different reportability rules and documentation drivers. Therefore, query compliance is the metric held to the same standard in both environments.
質問 # 137
Based on previous documentation, which of the following diagnoses would a CDI specialist be MOST likely to bring to the provider's attention in preparation for an upcoming visit of a 70-year-old patient?
正解：C
解説：
In outpatient CDI, "pre-visit" or prospective preparation focuses on chronic, clinically significant conditions that are likely to remain active and that should be reassessed and documented with clear MEAT support (monitor, evaluate, assess/address, treat) during the upcoming encounter. Epilepsy, chronic heart failure, and Crohn's disease are all long-term conditions that commonly require ongoing medication management, monitoring, and periodic reassessment, making them strong candidates for reminder/education to ensure the provider documents current status (controlled vs uncontrolled, exacerbation, complications, and treatment plan). This also supports accurate risk adjustment because chronic conditions with ongoing impact are the ones expected to be recaptured when addressed. In contrast, option C includes "family history," which is not a current active condition for risk adjustment, and options D includes acute/self-limited problems (syncope episode, pharyngitis) that are less appropriate as pre-visit chronic-condition prompts. Option B mixes chronic disease with items that may be historical or encounter-specific (compression fracture timing/status), making it less consistently targetable than option A.
質問 # 138
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CCDS-O受験料: https://www.xhs1991.com/CCDS-O.html
さらに、Xhs1991 CCDS-Oダンプの一部が現在無料で提供されています：https://drive.google.com/open?id=14niNJM7hmsS3yQJtTGeUzuzPEb9Zu3FO