誰もが良い仕事とまともな収入を望んでいます。しかし、彼らが優れた能力と優れた主要な知識を持っていない場合、彼らはまともな仕事を見つけるのは難しいです。テストCCDS-O認定に合格すると、夢を実現し、満足のいく仕事を見つけることができます。 CCDS-O学習教材は、CCDS-O試験に簡単に合格するのに役立つ優れたツールです。時間をかけて学習する必要はありません。 CCDS-O試験ガイドは高品質であり、当社の製品を使用する場合、CCDS-O試験に合格する可能性は99％〜100％と非常に高くなっています。
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IT業界の発展とともに、IT業界で働いている人への要求がますます高くなります。競争の中で排除されないように、あなたはACDISのCCDS-O試験に合格しなければなりません。たくさんの時間と精力で試験に合格できないという心配な心情があれば、我々CertJukenにあなたを助けさせます。多くの受験生は我々のソフトでACDISのCCDS-O試験に合格したので、我々は自信を持って我々のソフトを利用してあなたはACDISのCCDS-O試験に合格する保障があります。
質問 # 134
When compliantly querying providers, CDI specialists or HIM/coding professionals may
正解：C
解説：
Compliant querying principles taught in outpatient CDI allow the CDI/coding professional to present a multiple-choice query that includes reasonable diagnostic options supported by the current encounter's clinical indicators. Including a "new" diagnosis as an option is acceptable when it is clinically supported by documented findings (signs/symptoms, test results, treatments, clinical course) and the query is written in a non-leading manner-typically with balanced options and an "other" and/or "unable to determine" choice. This approach helps the provider clarify the most accurate condition being evaluated or treated without steering toward a particular response. Option A is not compliant because relying solely on prior encounter documentation (without current relevance) risks coding historical conditions that are not addressed today. Option B is generally discouraged because calling out HCC status can be perceived as prompting for payment impact rather than clinical accuracy. Option D is incorrect because including relevant clinical indicators is essential; omitting them weakens the clinical basis and does not make a query less leading-rather, it makes it less defensible.
質問 # 135
A CDI specialist reviews the record of a patient with a history of CHF and DM Type 2 who was seen in the clinic earlier that day for possible bronchitis, fever, congestion, dyspnea, and cough. A chest x-ray indicated LLL infiltrate, and a nebulizer treatment was administered while in the office. Levofloxacin and albuterol were prescribed. Which of the following is MOST appropriate to query?
正解：D
解説：
The documented clinical picture and treatment plan better align with pneumonia than uncomplicated bronchitis, creating a clear documentation/coding consistency opportunity. A LLL infiltrate on chest x-ray is a classic clinical indicator for pneumonia, and prescribing levofloxacin supports treatment of a likely bacterial lower respiratory infection rather than routine viral bronchitis. The patient also has fever, dyspnea, cough, and required an in-office nebulizer treatment, all of which can accompany pneumonia and increase clinical significance. In outpatient CDI practice, the most appropriate query is the one that clarifies the provider's definitive diagnosis when objective findings and management suggest a more specific condition than what is stated (e.g., "possible bronchitis"). Querying for diabetic complications or heart failure specificity is not as directly supported by the encounter's indicators and treatment actions provided, and "acuity of bronchitis" is secondary if the true condition is pneumonia. Clarifying whether pneumonia is present ensures accurate reporting, medical necessity support, and appropriate risk/quality capture.
質問 # 136
A CDI specialist read the most recent AHA Coding Clinic that provided updated guidance related to a prior AHA Coding Clinic. The CDI specialist should
正解：C
解説：
AHA Coding Clinic guidance functions as an authoritative interpretive resource for correct ICD-10-CM/PCS code assignment when official guidelines or code descriptors need clarification. When Coding Clinic publishes an update that revises, clarifies, or supersedes earlier advice, outpatient CDI practice is to operationalize the newest guidance prospectively-meaning it should be applied going forward from the publication/effective timeframe of that update. This supports consistent, defensible coding and reduces compliance risk by aligning current reporting with the most current official interpretation. Applying the original advice for a calendar or fiscal year (choices A and B) is not how Coding Clinic updates are intended to be implemented; the governing principle is "most current advice controls" once released. Similarly, automatically applying updated guidance retroactively to cases from last year (choice D) is not routine CDI practice; retrospective rebilling or recoding is typically limited, policy-driven, and subject to payer rules, auditing constraints, and organizational compliance decisions. Therefore, the best action is to use the updated Coding Clinic guidance from the date it is published/implemented forward.
質問 # 137
A patient receives treatment for diabetes during a primary care visit. He has a glucose level of 240 and A1C of 7.9. The patient is prescribed Gabapentin 100mg TID. Which of the following should the CDI specialist query for?
正解：B
解説：
In outpatient CDI chart review, a key skill is recognizing when medications and treatment plans suggest a specific diabetic complication that is not explicitly documented. Gabapentin is commonly prescribed for neuropathic pain, and in a diabetic patient it is frequently used to treat diabetic peripheral neuropathy symptoms (burning, tingling, numbness, shooting pain). ACDIS outpatient CDI guidance supports querying when there are strong clinical indicators that a more specific, clinically relevant diagnosis may be present and is being treated at the encounter, because diabetes codes require complication specificity when supported (e.g., "diabetes with neuropathy" rather than unspecified diabetes). The elevated glucose and A1C confirm ongoing diabetes management but do not, by themselves, indicate CKD, macular degeneration, or ketoacidosis. Ketoacidosis would require documentation of acute metabolic decompensation and supporting clinical/lab findings, which are not provided here. Therefore, the most appropriate clarification is whether the patient has diabetic peripheral neuropathy (and whether it is painful neuropathy) being managed with gabapentin, so the provider can document the condition clearly and accurately.
質問 # 138
An elderly patient with a PMH of CHF, DM type 1, arthritis, and HTN is seen in the clinic for a follow-up appointment after a recent hospitalization. After an evaluation of the patient's current health status, the provider documents the following: "HFrEF: lungs clear, no edema, continue meds. DM: no changes to insulin pump. Arthritis: asymptomatic joint destruction. HTN: BP stable. Continue meds." Which of the following is the clarification opportunity in the above scenario?
正解：D
解説：
This encounter documents both hypertension and heart failure management, creating a key outpatient documentation/coding clarification opportunity: whether the heart failure is related to hypertension (hypertensive heart disease with heart failure). Outpatient CDI principles emphasize capturing the true clinical relationships that affect code assignment, risk adjustment, and longitudinal disease management. When HTN and HF coexist, coding may require combination coding and correct sequencing, plus an additional heart failure code to describe the specific HF type. Provider documentation that explicitly links (or explicitly rules out) a causal relationship supports compliant selection of the most accurate diagnosis codes and reduces ambiguity during chart review. The other options are weaker: the provider already documents HFrEF (type), and while added severity detail can help, the scenario's primary clarification "opportunity" is the HTN-HF relationship. DM type 1 inherently involves insulin, so "insulin status" is not the key outpatient clarification point here, and there is no typical direct linkage between DM and arthritis supported by the note.
質問 # 139
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近年、IT業種の発展はますます速くなることにつれて、ITを勉強する人は急激に多くなりました。人々は自分が将来何か成績を作るようにずっと努力しています。ACDISのCCDS-O試験はIT業種に欠くことができない認証ですから、試験に合格することに困っている人々はたくさんいます。ここで皆様に良い方法を教えてあげますよ。CertJukenが提供したACDISのCCDS-Oトレーニング資料を利用する方法です。あなたが試験に合格することにヘルプをあげられますから。それにCertJukenは１００パーセント合格率を保証します。あなたが任意の損失がないようにもし試験に合格しなければCertJukenは全額で返金できます。
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