KoreaDumps에서 제공해드리는 IT인증시험대비 덤프를 사용해보신적이 있으신지요? 만약에 다른 과목을 사용해보신 분이라면 ACDIS CCDS덤프도 바로 구매할것입니다. 첫번째 구매에서 패스하셨다면 덤프에 신뢰가 있을것이고 불합격받으셨다하더라도 바로 환불해드리는 약속을 지켜드렸기때문입니다. 처음으로 저희 사이트에 오신 분이라면ACDIS CCDS덤프로 첫구매에 도전해보지 않으실래요? 저희 덤프로 쉬운 자격증 취득이 가능할것입니다.
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Official Guidelines for Coding and Reporting | 14.17% | - Principal diagnosis assignment - AHA Coding Clinic - Secondary diagnosis assignment - Working DRG assignment for multiple diagnoses - Discharge dispositions and transfers - Hospital-acquired conditions - Present on admission indicators - Official Guidelines for Coding and Reporting updates - Coding guidelines for principal diagnosis selection |
| Topic 2: Anatomy and physiology, pathophysiology, pharmacology, and medical terminology | 19.17% | - Clinical indicators and query opportunities by Major Diagnostic Category - Diseases and disorders of the skin, subcutaneous tissue, and breast - HIV infections - Diseases and disorders of the digestive system - Diseases and disorders of the circulatory system - Diagnostic tests as clinical indicators - Diseases and disorders of the nervous system - Pharmaceuticals and disease processes - Alcohol/drug use and alcohol/drug-induced organic brain disorders - Myeloproliferative diseases and disorders and poorly differentiated neoplasms - Diseases and disorders of the blood and blood-forming organs and immunological disorders - Infectious and parasitic diseases - Diseases and disorders of the kidney and urinary tract - Diseases and disorders of the respiratory system - Diseases and disorders of the musculoskeletal system - Injuries, poisonings, and toxic effects of drugs - Endocrine, nutritional, and metabolic diseases and disorders - Medications as clinical indicators - Mental diseases and disorders - Diseases and disorders of the hepatobiliary system - Standard medical abbreviations |
| Topic 3: Communication skills | 9.17% | - Roles and responsibilities of coders working with CDI departments - Educational presentations for healthcare departments and administration - Roles and responsibilities of CDI specialists - Physician education forms and tools - Effective and non-confrontational physician communication - Verbal versus written physician communication - Reconciling CDI working DRGs with final coded DRGs |
| Topic 4: Healthcare regulations, reimbursement, and documentation requirements related to the IPPS | 12.5% | - Complication/comorbidity (CC) - Inpatient admission criteria and CMS Two-Midnight Rule - Documentation impact on IPPS reimbursement - Major complication/comorbidity (MCC) - IPPS and its updates and revisions - Principal diagnosis and medical necessity - Medical staff and clinical staff documentation responsibilities - Coding and billing practices vulnerable to denial - Case mix index (CMI) - Medicare contractors and their impact on CDI - Documentation and medical necessity of setting - Medicare Severity Diagnosis Related Groups (MS-DRGs) |
| Topic 5: Professionalism, ethics, and compliance | 9.17% | - DRG compliance initiatives - Compliance risks indicated by PEPPER - Potential DRG creep - CDI department goals beyond reimbursement - Leading queries - Medical record confidentiality |
| Topic 6: Impact of reportable diagnoses on quality of care | 8.33% | - Hospital Readmissions Reduction Program - Patient Safety Indicators - Coded data elements affecting Patient Safety Indicators - Hospital Inpatient Quality Reporting Program - Hospital-Acquired Condition Reduction Program - Healthcare-associated infections and complication codes - Quality data from record abstraction and claims data - Documentation and code assignment impact on mortality index - 30-day mortality measures - Mortality reviews and observed/expected ratios - CDI impact on Hospital Value-Based Purchasing - Hospital Value-Based Purchasing |
| Topic 7: Healthcare facility CDI program analysis | 8.33% | - CDI program forecasting - Patient Safety Indicators - Severity of illness and risk of mortality - Hospital Value-Based Purchasing measures - Publicly reported data - CDI specialist productivity metrics - Provider response rates - High-frequency DRGs - Physician performance measurement - Case mix index (CMI) - Tracking and trending physician, department, and hospital performance - Hospital-specific financial data - Basic computer and software application skills - PEPPER data - CC/MCC capture |
| Topic 8: Medical record documentation | 19.17% | - Types of physician queries - When a physician query is warranted - Compliant and noncompliant queries - Clinical indicators - Addressing diagnoses without clinical support - Documentation requiring clarification - Situations in which queries are not appropriate - Provider role and diagnosis code assignment - Translating clinical indicators into compliant queries - Physician query formats - Health record elements used for diagnosis and procedure code assignment - ACDIS/AHIMA Guidelines for Achieving a Compliant Query Practice |
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질문 # 133
A patient's chest x-ray shows pulmonary vascular congestion and pleural effusions. These findings are most consistent with which of the following conditions?
정답：D
설명：
Pulmonary vascular congestion accompanied by pleural effusions is classically associated with congestive heart failure, particularly left-sided or biventricular decompensation. Increased left-sided cardiac filling pressure raises pulmonary venous and capillary hydrostatic pressure, promoting interstitial and alveolar fluid accumulation. Fluid may also migrate into the pleural space, producing unilateral or bilateral pleural effusions.
Additional radiographic indicators of heart failure may include cardiomegaly, cephalization of pulmonary vessels, interstitial edema, Kerley B lines, perihilar alveolar opacities, and bilateral effusions. These findings should always be interpreted alongside symptoms and other clinical evidence such as dyspnea, orthopnea, edema, BNP/NT-proBNP, echocardiography, and response to diuretics.
COPD more commonly demonstrates hyperinflation, flattened diaphragms, and increased lucency rather than pulmonary vascular congestion. Cor pulmonale refers to right-sided cardiac dysfunction resulting from pulmonary disease and does not typically produce the classic pulmonary venous congestion pattern.
Pulmonary embolism may have a normal chest radiograph or nonspecific abnormalities, but pulmonary vascular congestion with effusions is not its characteristic pattern.
For CDI purposes, imaging provides a clinical indicator but does not independently establish the diagnosis or acuity of heart failure.
CCDS Reference Topics: Heart failure pathophysiology; chest radiography; clinical indicators; cardiopulmonary terminology.
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질문 # 134
A patient with an indwelling urinary catheter develops fever, pyuria, and a positive urine culture during hospitalization. The physician documents "UTI" but does not state whether the infection is related to the catheter. What should the CDI specialist do?
정답：B
설명：
The CDI specialist should query the provider regarding the cause-and-effect relationship between the urinary catheter and the infection. The simultaneous presence of a catheter and UTI does not, by itself, establish a device-related complication for coding.
A positive culture, pyuria, and fever may support infection, but attribution to an indwelling catheter requires appropriate provider documentation when the classification does not independently establish the relationship.
The query should present relevant facts neutrally: catheter placement and duration, fever, urinary symptoms when present, urinalysis, culture findings, antibiotic treatment, and existing UTI documentation. Possible responses should allow the physician to identify catheter-associated UTI, UTI unrelated to the catheter, another diagnosis, or inability to determine.
Option A improperly infers causation. Option C goes too far in the opposite direction; although asymptomatic bacteriuria is common in catheterized patients, the provider has documented UTI and the patient has clinical findings that may support infection. Option D similarly equates a test result with a complication diagnosis.
This is a classic CCDS cause-and-effect clarification issue and demonstrates why device-related complications require careful documentation.
CCDS Reference Topics: CAUTI; device-related complications; cause-and-effect queries; clinical indicators; quality reporting.
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질문 # 135
Hospital A is developing a query policy. Open-ended queries will be encouraged. The provider is expected to document on the query form, which will be retained as part of the health record. Hospital A will remove any unanswered queries and shred them to avoid any incomplete forms within the health record. Which of the following is considered a high-risk query practice?
정답：C
설명：
The high-risk practice is destroying unanswered queries. Query retention should be governed by an established organizational policy and should not depend on whether the provider answers the query.
Selectively destroying unanswered queries can create significant compliance, audit, and record-integrity concerns because it removes evidence of the documentation-clarification process.
ACDIS/AHIMA guidance has consistently required organizations to establish query-retention policies.
Queries may be retained as part of the permanent health record or maintained as a retrievable business record according to organizational policy and legal requirements. The current 2026 ACDIS/AHIMA query practice guidance supersedes all previous editions, reinforcing the importance of a standardized, defensible query process.
Keeping queries in the health record is not inherently problematic when policy defines them as part of that record. Likewise, a new diagnosis may be included in a multiple-choice query when it is supported by patient- specific clinical indicators and the choices remain nonleading. A yes/no query can also be compliant in defined circumstances, such as clarification of a diagnosis or relationship already documented.
Selective destruction is therefore the clear compliance risk.
CCDS Reference Topics: Query retention; compliance; organizational query policy; audit integrity.
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질문 # 136
Which CMS resource contains the complete FY 2026 lists of diagnoses classified as MCCs and CCs for MS- DRG purposes?
정답：A
설명：
CMS publishes the complete MCC and CC lists as part of the FY 2026 IPPS Final Rule supporting tables.
Specifically, the FY 2026 final-rule page identifies Table 6I as the Complete MCC List and Table 6J as the Complete CC List, along with additions, deletions, and the CC exclusion list.
These files are critical reference resources when assessing MS-DRG severity logic. Nevertheless, classification as an MCC or CC does not automatically mean that the diagnosis changes a particular case's MS-DRG. Principal-diagnosis exclusions, procedure logic, DRG structure, and the presence of another MCC can affect whether a diagnosis alters final assignment.
The Hospital Consumer Assessment survey relates to patient experience rather than diagnosis severity classification. The Physician Fee Schedule governs professional reimbursement and does not contain the inpatient MS-DRG MCC/CC classification system. National Coverage Determinations address Medicare coverage for particular services rather than MS-DRG severity categories.
CDI specialists should use the current CMS version applicable to the discharge date. CMS identifies MS- DRG Version 43.1 as effective April 1 through September 30, 2026.
CCDS Reference Topics: MCC; CC; CMS Definitions Manual; IPPS; MS-DRG severity.
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질문 # 137
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：B
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.
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질문 # 138
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