さらに、CertShiken 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=1LidrdrTSULgU7_t4hGc4J3uAyN7-SDvc
たくさんの人はACDIS CCDS-O「Certified Clinical Documentation Specialist-Outpatient」認証試験を通ることが難しいと思います。もし弊社の問題集を勉強してそれは簡単になります。弊社はオンラインサービスとアフターサービスとオンラインなどの全面方面を含めてます。オンラインサービスは研究資料模擬练習問題などで、アフターサービスはCertShikenが最新の認定問題だけでなく、絶えずに問題集を更新しています。
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親愛なる受験生の皆様、何かACDISのCCDS-O試験のトレーニング授業に加入したいのですか。実は措置を取ったら一回で試験に合格することができます。CertShikenのACDISのCCDS-O試験のトレーニング資料はとても良い選択なんですよ。CertShikenの仮想ネットワークトレーニングと授業は大量の問題集に含まれていますから、ぜひあなたが気楽に試験に合格することを約束します。
質問 # 52
A patient is scheduled to see his PCP in 3 days. A CDI specialist notes that during the patient's last visit earlier this year, the problem list shows both DM 2 associated erectile dysfunction and DM 2 without complications. The last clinic note states that DM 2 with autonomic neuropathy was addressed. The CDI specialist should do which of the following FIRST?
正解：D
解説：
The record contains conflicting documentation: the problem list includes both "type 2 diabetes without complications" and diabetes with complications (erectile dysfunction association), while the most recent clinic note indicates the provider addressed "DM2 with autonomic neuropathy," which is clearly a diabetic complication. In outpatient CDI, the first priority is to resolve internal inconsistency so coding accurately reflects the patient's current clinical status and what was evaluated/managed at the encounter. A query should therefore focus on whether the patient's diabetes is with complications (and which complications are active/being addressed) versus truly without complications, because "without complications" is generally not appropriate when neuropathy/other manifestations are present and being managed. CDI staff also should not unilaterally remove items from the provider-maintained problem list, and asking the patient is not a reliable documentation/coding source for establishing diagnoses. Once the provider clarifies diabetes complication status, a follow-up clarification can address specific linkages (e.g., erectile dysfunction due to diabetes) if needed for correct code assignment
質問 # 53
A record review conducted prior to a primary care appointment indicates a patient has been followed for history of colon cancer. The patient is 18 months s/p bowel resection and is under treatment for LLE DVT, which required monitoring of INR - on Coumadin. The problem list also includes obesity, obstructive sleep apnea (OSA), COPD, and hypertension. Which of the following is the query opportunity?
正解：D
解説：
In outpatient CDI, a prime query opportunity is any diagnosis with unclear "status" that materially affects coding, risk adjustment, surveillance, and care planning. "History of colon cancer" paired with "18 months s/p bowel resection" creates ambiguity: the provider must clarify whether the malignancy is still active (current disease, recurrence, metastasis, ongoing treatment) versus no longer present (history of malignancy, in remission, disease-free status, post-treatment surveillance only). This distinction changes code selection substantially and prevents inappropriate reporting of an active cancer when the encounter is actually follow-up after curative treatment. By contrast, ostomy status is not documented as present, and OSA/COPD "status" may be clinically useful but is not inherently ambiguous from the prompt in the same way (they are listed as chronic problems without a conflicting timeline event). ACDIS outpatient CDI practice prioritizes clarifying cancer status because it impacts longitudinal documentation integrity, accurate problem list management, and compliant diagnosis reporting at each visit.
質問 # 54
Which of the following conditions is commonly treated with the medication sertraline?
正解：D
解説：
Sertraline is a selective serotonin reuptake inhibitor (SSRI) most commonly used to treat depressive disorders and several anxiety-related conditions. In outpatient chart review, recognizing medication-condition relationships supports accurate problem list maintenance and compliant diagnosis reporting, but the diagnosis must still be clearly documented as assessed/managed at the encounter. Depression is the best match because SSRIs like sertraline are first-line pharmacologic therapy for major depressive disorder and are frequently continued long-term with monitoring for symptom control, side effects, and functional status. Schizophrenia is primarily treated with antipsychotic medications; sertraline may be used only as an adjunct if a comorbid depressive or anxiety disorder is present, so it is not the common primary treatment. Asthma management centers on bronchodilators and inhaled corticosteroids, not SSRIs. Heart failure therapy involves guideline-directed cardiac medications (e.g., beta-blockers, ACE inhibitors/ARNI, diuretics), and sertraline is not a standard heart failure treatment. Outpatient CDI education emphasizes documenting the specific mental health diagnosis, current status (stable/worsening), and treatment plan to support coding.
質問 # 55
Using the table above, which of the following HCC(s) should be assigned for documentation stating the patient has resolving AKI due to ATN, creatinine levels slowly returning to baseline, and CKD- stage 3-4?
正解：D
解説：
In HCC risk adjustment, chronic kidney disease (CKD) is captured by stage-based HCCs that are hierarchical-only the highest supported CKD stage in the hierarchy is counted for RAF when multiple stages (or a range) are referenced. The documentation includes "CKD - stage 3-4," which indicates the patient's baseline CKD severity falls somewhere between stage 3 and stage 4. When selecting from the provided table, stage 4 maps to HCC 327 and is higher than stage 3 categories (HCC 328 for stage 3B and HCC 329 for stage 3 except 3B). AKI due to ATN describes an acute process and does not replace the need to capture baseline CKD stage when it is clinically relevant and documented. Outpatient CDI best practice would be to query the provider to specify the exact CKD stage (since "3-4" is imprecise), but when forced to choose from the hierarchy shown, the correct HCC assignment based on the highest stated stage in the documented range is HCC 327 (CKD stage 4).
質問 # 56
In a year over year comparison, the total number of patients with the more specific diagnosis of morbid obesity versus unspecified obesity increased from 10,000 patients to 11,000 patients. Which of the following is the hypothetical increase in yearly reserve for that patient population? (Morbid obesity HCC value = 0.186 and PMPM = $800.00)
正解：D
解説：
This question applies the outpatient risk adjustment "reserve" concept: predicted cost is estimated by multiplying the member's risk factor contribution by a baseline per-member-per-month (PMPM) amount, then annualizing. The morbid obesity HCC factor is 0.186, and PMPM is $800. First compute the monthly cost impact: $800 × 0.186 = $148.80 per month per patient. Convert to yearly: $148.80 × 12 = $1,785.60 per patient per year. The year-over-year increase in patients with morbid obesity documentation is 11,000 - 10,000 = 1,000 additional patients. Multiply the annual per-patient impact by the additional patient count: $1,785.60 × 1,000 = $1,785,600. Outpatient CDI programs emphasize that improving documentation specificity (when clinically supported) can change whether an HCC is captured, which can affect RAF-based projections and resource planning. However, documentation must still be accurate, supported, and reflect conditions assessed/managed during the encounter.
質問 # 57
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すべての顧客の誠実な要件を考慮して、CCDS-Oテスト問題は、高品質の製品、思いやりのあるアフターサービスを備えた候補者に約束します。試験での99％の合格率、購入前の無料トライアル、安全なプライバシー保護など、CCDS-Oトレーニング資料の多くの利点がよく認識されています。お客様の視点から、最適なCCDS-O模擬試験へのすべてのお客様の信頼とフィードバックを大切にし、最良の選択になります。
CCDS-Oオンライン試験: https://www.certshiken.com/CCDS-O-shiken.html
さらに、CertShiken 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=1LidrdrTSULgU7_t4hGc4J3uAyN7-SDvc