CCDS試験の準備は精巧にまとめられており、非常に効率的です。時間と労力を節約できます。合格率とヒット率も非常に高く、数千人の受験者が当社のCCDSガイドトレントを信頼し、試験に合格しています。候補者には非常に多くの保証を提供しており、CCDS学習教材を心配なく購入できます。そのため、当社ACDISが提供するCCDS試験トレントを十分に理解し、最初の試行でCCDS試験に合格できることを願っています。
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Impact of reportable diagnoses on quality of care | 8.33% | - Coded data elements affecting Patient Safety Indicators - CDI impact on Hospital Value-Based Purchasing - Documentation and code assignment impact on mortality index - Hospital Value-Based Purchasing - Hospital-Acquired Condition Reduction Program - Hospital Readmissions Reduction Program - Mortality reviews and observed/expected ratios - Healthcare-associated infections and complication codes - Hospital Inpatient Quality Reporting Program - Patient Safety Indicators - 30-day mortality measures - Quality data from record abstraction and claims data |
| Topic 2: Healthcare facility CDI program analysis | 8.33% | - Tracking and trending physician, department, and hospital performance - Case mix index (CMI) - CDI program forecasting - PEPPER data - High-frequency DRGs - Severity of illness and risk of mortality - Hospital-specific financial data - Hospital Value-Based Purchasing measures - Provider response rates - Physician performance measurement - CDI specialist productivity metrics - Publicly reported data - Basic computer and software application skills - CC/MCC capture - Patient Safety Indicators |
| Topic 3: Medical record documentation | 19.17% | - Documentation requiring clarification - Physician query formats - Situations in which queries are not appropriate - Translating clinical indicators into compliant queries - ACDIS/AHIMA Guidelines for Achieving a Compliant Query Practice - Health record elements used for diagnosis and procedure code assignment - Provider role and diagnosis code assignment - When a physician query is warranted - Clinical indicators - Types of physician queries - Addressing diagnoses without clinical support - Compliant and noncompliant queries |
| Topic 4: Professionalism, ethics, and compliance | 9.17% | - Compliance risks indicated by PEPPER - Medical record confidentiality - Potential DRG creep - DRG compliance initiatives - Leading queries - CDI department goals beyond reimbursement |
| Topic 5: Anatomy and physiology, pathophysiology, pharmacology, and medical terminology | 19.17% | - Alcohol/drug use and alcohol/drug-induced organic brain disorders - Mental diseases and disorders - HIV infections - Diseases and disorders of the circulatory system - Diseases and disorders of the musculoskeletal system - Endocrine, nutritional, and metabolic diseases and disorders - Diseases and disorders of the respiratory system - Standard medical abbreviations - Medications as clinical indicators - Diseases and disorders of the digestive system - Clinical indicators and query opportunities by Major Diagnostic Category - Injuries, poisonings, and toxic effects of drugs - Diseases and disorders of the kidney and urinary tract - Pharmaceuticals and disease processes - Diseases and disorders of the skin, subcutaneous tissue, and breast - Diseases and disorders of the blood and blood-forming organs and immunological disorders - Myeloproliferative diseases and disorders and poorly differentiated neoplasms - Diseases and disorders of the nervous system - Diagnostic tests as clinical indicators - Diseases and disorders of the hepatobiliary system - Infectious and parasitic diseases |
| Topic 6: Healthcare regulations, reimbursement, and documentation requirements related to the IPPS | 12.5% | - Case mix index (CMI) - Major complication/comorbidity (MCC) - Medicare contractors and their impact on CDI - Medicare Severity Diagnosis Related Groups (MS-DRGs) - Documentation and medical necessity of setting - Medical staff and clinical staff documentation responsibilities - Coding and billing practices vulnerable to denial - Documentation impact on IPPS reimbursement - Complication/comorbidity (CC) - IPPS and its updates and revisions - Inpatient admission criteria and CMS Two-Midnight Rule - Principal diagnosis and medical necessity |
| Topic 7: Official Guidelines for Coding and Reporting | 14.17% | - AHA Coding Clinic - Working DRG assignment for multiple diagnoses - Official Guidelines for Coding and Reporting updates - Principal diagnosis assignment - Discharge dispositions and transfers - Coding guidelines for principal diagnosis selection - Hospital-acquired conditions - Present on admission indicators - Secondary diagnosis assignment |
| Topic 8: Communication skills | 9.17% | - Reconciling CDI working DRGs with final coded DRGs - Roles and responsibilities of coders working with CDI departments - Educational presentations for healthcare departments and administration - Physician education forms and tools - Effective and non-confrontational physician communication - Roles and responsibilities of CDI specialists - Verbal versus written physician communication |
Xhs1991のCCDS問題集の超低い価格に反して、 Xhs1991に提供される問題集は最高の品質を持っています。そして、もっと重要なのは、Xhs1991は質の高いサービスを提供します。望ましい問題集を支払うと、あなたはすぐにそれを得ることができます。Xhs1991のサイトはあなたが最も必要なもの、しかもあなたに最適な試験参考書を持っています。CCDS問題集を購入してから、また一年間の無料更新サービスを得ることもできます。一年以内に、あなたが持っている資料を更新したい限り、Xhs1991は最新バージョンのCCDS問題集を捧げます。Xhs1991はあなたに最大の利便性を与えるために全力を尽くしています。
質問 # 12
A patient has a history of a type 2 MI 30 days ago. The patient is admitted for chest pain which is determined to be an NSTEMI. Which of the following diagnosis(es) should be coded to identify the working MS-DRG?
正解：C
解説：
The current NSTEMI is the acute condition driving the admission. The prior type 2 myocardial infarction occurred 30 days earlier, placing it beyond the ICD-10-CM four-week acute-MI reporting window. The Official Guidelines state that category I21 codes may continue to be reported while an MI is four weeks old or less; after that period, an aftercare code may be appropriate when continued MI-related care is being provided, or I25.2 may describe an old/healed MI when applicable.
There is an additional reason not to select a "subsequent MI" answer. Category I22 is restricted to qualifying subsequent type 1 or unspecified acute myocardial infarctions occurring within four weeks of the initial qualifying MI. Type 2 MI is classified to I21.A1 rather than I22.
Therefore, the previous type 2 MI does not support selection of a subsequent-MI option in this 30-day scenario. The active NSTEMI is the diagnosis relevant to the working MS-DRG. "Initial encounter" in answer B is exam terminology rather than an ICD-10-CM seventh-character designation for MI, but B is clearly the intended correct choice.
CCDS Reference Topics: Official Guidelines-acute myocardial infarction; working MS-DRG; circulatory disorders.
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質問 # 13
A CDI manager finds that cardiology providers receive repeated queries for heart-failure acuity and type.
Which educational intervention is MOST appropriate?
正解：D
解説：
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.
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質問 # 14
A CDI specialist identifies fever, leukocytosis, tachycardia, positive blood cultures, and IV antibiotic treatment. No infectious diagnosis has been documented. Which query approach is MOST compliant?
正解：C
解説：
The most compliant approach is to present the patient-specific clinical indicators objectively and request clarification using clinically reasonable choices without predetermining the diagnosis.
Neither the CDI specialist nor coder independently diagnoses sepsis from fever, leukocytosis, tachycardia, cultures, or antibiotic therapy. These findings create a legitimate clarification opportunity, but the responsible provider must determine whether the patient has sepsis, bacteremia, a localized infection, contamination, another condition, or no definitive diagnosis.
Option A is leading because it instructs the provider to document a specific diagnosis. Option B is problematic because a yes/no format would effectively introduce a new diagnosis that has not previously been documented. Option D violates basic coding principles because treatment alone does not establish a provider diagnosis.
The August 2026 ACDIS/AHIMA guidance is the current foundational standard for compliant query practice and supersedes earlier versions. It applies across inpatient and other healthcare environments and emphasizes defensible documentation clarification processes.
CCDS Reference Topics: Compliant queries; missing diagnosis; multiple-choice queries; clinical indicators; provider independence.
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質問 # 15
Which of the following is considered by CMS to be a HAC requiring MS-DRG adjustment if not POA?
正解：D
解説：
CMS specifically includes deep vein thrombosis and pulmonary embolism following certain orthopedic procedures, including total knee replacement and hip replacement, among Hospital-Acquired Conditions subject to the HAC/POA payment provisions. Therefore, option C is correct.
Under the IPPS HAC payment policy, qualifying conditions that were not present on admission may lose their normal CC/MCC effect for MS-DRG assignment when all applicable criteria are met. This makes accurate POA determination essential in CDI and coding.
Pressure ulcers are also part of the HAC framework, but the CMS category historically applies specifically to Stage III and Stage IV pressure ulcers. An unstageable pressure ulcer does not automatically satisfy the Stage III/IV HAC category merely because it is severe or clinically significant. CMS materials distinguish an unstageable ulcer from a documented Stage III or IV ulcer.
Postoperative pneumonia and septic shock are not, by themselves, the specified HAC category represented by the answer choices.
The CCDS blueprint specifically requires candidates to identify CMS-designated HACs and understand the effect of POA assignment on payment.
CCDS Reference Topics: IPPS; Hospital-Acquired Conditions; POA; MS-DRG adjustment.
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質問 # 16
A patient is admitted with a stage 4 pressure ulcer of the right heel. The physician documents the pressure- ulcer diagnosis and location. The wound-care nurse documents stage 4. Which statement is MOST accurate?
正解：C
解説：
Pressure-ulcer staging is one of the recognized circumstances in which ICD-10-CM permits the relevant clinical detail to be obtained from documentation by an appropriate non-provider clinician, such as a qualified wound-care nurse.
The provider establishes the medical diagnosis, while the wound-care clinician's specialized assessment may support the stage assignment. This distinction allows coding to reflect the expertise of clinicians who directly assess the wound without requiring physicians to duplicate every technical staging statement.
Option C is too broad. The exception permitting stage documentation from another clinician does not grant non-provider documentation unrestricted authority to establish all reportable medical diagnoses.
Pressure-ulcer stage is highly relevant because ICD-10-CM pressure-ulcer codes incorporate both anatomical site and stage. It can also have substantial implications for severity reporting, POA assessment, CMS HAC policy, nursing care, quality review, and risk adjustment.
When different clinicians document conflicting stages, clarification should be pursued rather than selecting the most severe value.
CCDS candidates should understand the distinction between provider-established diagnoses and specific coding elements that ICD-10-CM permits to originate from other qualified professionals.
CCDS Reference Topics: Pressure ulcers; wound staging; non-provider documentation; coding exceptions.
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質問 # 17
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CCDSスタディガイドは、多くのメリットと機能を高めます。購入前にCCDSテスト問題をダウンロードして自由に試すことができます。当社製品を購入した後、すぐに当社製品を使用できます。選択できる3つのバージョンが用意されており、CCDSトレーニング資料を学習して試験を準備するのに20〜30時間しかかかりません。ACDIS合格率とヒット率は両方とも高いです。 1年以内に24時間のオンラインカスタマーサービスと無料アップデートを提供しています。そして、CCDS試験問題を試してみると、CCDSトレーニング資料には多くの利点があることがわかります。
CCDS無料模擬試験: https://www.xhs1991.com/CCDS.html