고객님의 시간을 조금이라도 절약해드리고 공을 적게 들여도 자격증 취득이 쉬워지도록 Fast2test의 IT전문가들은 최신 실러버스에 따라 몇년간의 노하우와 경험을 충분히 활용하여ACDIS CCDS시험대비자료를 연구제작하였습니다. ACDIS CCDS 덤프를 공부하여 시험에서 떨어지는 경우 덤프비용환불 혹은 다른 과목으로 교환하는중 한가지 서비스를 제공해드립니다.
| Section | Weight | Objectives |
|---|---|---|
| Clinical Knowledge & Disease Processes Application | 20% | - Medical terminology, anatomy, physiology, pathophysiology - Clinical indicators, lab results, medications, diagnostic findings - Disease processes across body systems applied to chart review |
| Quality, Risk Adjustment & Health Initiatives | 15% | - Risk adjustment models and documentation impact - Quality reporting, public reporting, and compliance programs - Severity of Illness (SOI) / Risk of Mortality (ROM) |
| Clinical Documentation Review & Query Practices | 20% | - Documentation gap identification and resolution - Query development, communication, and ethical standards - Concurrent and retrospective chart review methodologies |
| Healthcare Regulations, Reimbursement & Documentation Requirements – IPPS | 15% | - Medicare Severity Diagnostic Related Groups (MS-DRGs) - Inpatient Prospective Payment System (IPPS) fundamentals - Documentation responsibilities of medical and clinical staff |
| Coding Guidelines & Official Reporting Standards | 15% | - AHIMA/ACDIS Guidelines for Compliant Query Practice - Coding integrity and compliant documentation practices - ICD-10-CM/PCS Official Guidelines for Coding and Reporting |
| CDI Program Management & Professional Practice | 15% | - Ethics, HIPAA, and professional conduct - Program metrics, benchmarks, and performance measurement - Provider education and training strategies |
Fast2test는ACDIS CCDS시험을 패스할 수 있는 아주 좋은 사이트입니다. Fast2test은 아주 알맞게 최고의ACDIS CCDS시험문제와 답 내용을 만들어 냅니다. 덤프는 기존의 시험문제와 답과 시험문제분석 등입니다. Fast2test에서 제공하는ACDIS CCDS시험자료의 문제와 답은 실제시험의 문제와 답과 아주 비슷합니다.
질문 # 137
A patient is admitted with pneumonia. On hospital day 3, the patient deteriorates and the physician documents that sepsis developed after admission as a consequence of the pneumonia. Which diagnosis is generally sequenced first?
정답：A
설명：
When a patient is admitted with a localized infection and sepsis develops after admission, the localized infection is generally sequenced as the principal diagnosis, followed by the appropriate sepsis code.
The FY 2026 ICD-10-CM Official Guidelines explicitly distinguish this circumstance from cases in which both the localized infection and sepsis are present on admission. When sepsis develops only after admission, the localized infection responsible for the original hospitalization remains principal.
Therefore, pneumonia is sequenced first in this scenario.
If the patient subsequently develops acute organ dysfunction related to sepsis and the provider documents severe sepsis, additional severe-sepsis and organ-dysfunction codes are assigned as appropriate. The severe- sepsis code cannot itself serve as principal diagnosis.
This question demonstrates why CDI specialists must clarify timing. Simply seeing both "pneumonia" and
"sepsis" in a discharge summary is insufficient to determine correct sequencing when the onset relationship is unclear.
The POA status of sepsis also becomes relevant because documentation indicates that it developed after inpatient admission.
CCDS Reference Topics: Sepsis; pneumonia; sequencing; timing; POA; principal diagnosis.
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질문 # 138
A hospital's query policy states that all answered queries will be retained, but all unanswered queries that might delay billing will be permanently destroyed. What is the PRIMARY compliance concern?
정답：B
설명：
The principal concern is the selective destruction of unanswered queries. A compliant query-retention policy should be consistent, defensible, and auditable rather than dependent on whether the physician provided a response or whether the query affected billing.
Organizations may structure query retention differently depending on legal requirements, health-record policy, technology, and organizational governance. Queries may be part of the permanent health record or retained as another retrievable business record, depending on policy. The key point is that disposition should not be manipulated to hide unanswered or inconvenient clarification activity.
Destroying unresolved queries can impair auditability, create an appearance that the organization is selectively preserving only favorable documentation activity, and undermine the integrity of the CDI process.
The 2026 ACDIS/AHIMA guidelines are the current foundational standard for query-practice design and supersede prior versions.
A query need not automatically remain in the permanent medical record forever; retention requirements depend on applicable organizational and legal policies. What is unacceptable is an inconsistent approach designed to remove evidence based on outcome.
CCDS Reference Topics: Query retention; compliance; auditability; organizational policy; documentation integrity.
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질문 # 139
A patient was admitted with weakness, loss of appetite, hemoglobin 7.8, WBC 2,700, and platelet count 58.
The admitting diagnoses on the history and physical were anemia, leukopenia, decreased platelets, and rule out myelodysplastic syndrome. Based on these clinical indicators a CDI specialist should query for which of the following conditions?
정답：C
설명：
The laboratory findings demonstrate reduction in all three major peripheral blood-cell lines: hemoglobin 7.8 indicates anemia, WBC 2,700 indicates leukopenia, and platelets 58 indicate thrombocytopenia. Collectively, this pattern is consistent with pancytopenia, making option C the most appropriate documentation clarification.
The National Cancer Institute defines pancytopenia as a lower-than-normal number of red blood cells, white blood cells, and platelets. Importantly, pancytopenia describes the hematologic state; it does not establish its underlying etiology. Myelodysplastic syndrome was only being ruled out in the scenario, so the CDI specialist should not infer it as the definitive cause.
Thrombocytopenia alone would capture only one component of the abnormal CBC and would fail to represent the simultaneous anemia and leukopenia. Myelophthisis implies marrow displacement or infiltration and cannot be inferred from these counts alone. Likewise, aplastic anemia is a specific bone-marrow failure diagnosis requiring provider determination and supporting diagnostic evaluation.
A compliant query can present pancytopenia as a clinically supported choice while allowing the provider to document another explanation.
CCDS Reference Topics: Hematology; clinical indicators; medical terminology; compliant query opportunity.
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질문 # 140
A patient with cirrhosis presents with confusion and asterixis. Ammonia is elevated and the patient improves after lactulose administration. The physician documents "altered mental status due to liver disease." Which clarification would provide the MOST clinically specific documentation?
정답：C
설명：
The findings create a strong clarification opportunity for hepatic encephalopathy. Cirrhosis, altered mental status, asterixis, elevated ammonia, and improvement with lactulose collectively support an encephalopathic process related to hepatic dysfunction.
The CDI specialist should not independently diagnose hepatic encephalopathy from the findings. Instead, the physician should be asked to clarify the condition represented by the documented phrase "altered mental status due to liver disease." Hepatic encephalopathy is clinically more specific than a nonspecific symptom such as altered mental status and has a distinct ICD-10-CM classification. Elevated ammonia alone is not sufficient to establish the diagnosis because ammonia levels do not always correlate directly with the severity of encephalopathy. The entire clinical picture must be considered.
Dementia generally represents a chronic neurocognitive disorder and does not adequately explain the acute presentation. Alcohol withdrawal requires an appropriate history of cessation or reduction plus characteristic withdrawal manifestations. Metabolic acidosis concerns acid-base physiology and is not supported by the described findings.
This is an example of CDI moving documentation from a nonspecific symptom to a clinically meaningful diagnosis without directing the provider to a predetermined answer.
CCDS Reference Topics: Hepatic encephalopathy; cirrhosis; neurologic manifestations; clinical indicators; documentation specificity.
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질문 # 141
A patient has chronic gastroesophageal reflux disease listed in the past medical history. During the current hospitalization for bacterial pneumonia, GERD receives no clinical evaluation, treatment, diagnostic testing, increased nursing monitoring, or effect on length of stay. Which statement is MOST accurate?
정답：C
설명：
A condition documented in the medical record does not automatically qualify as a reportable secondary diagnosis. For inpatient coding, additional diagnoses generally must be clinically significant during the current hospitalization. Qualifying significance includes clinical evaluation, therapeutic treatment, diagnostic procedures, an extended length of stay, or increased nursing care and/or monitoring.
Here, GERD is merely part of the patient's historical medical background and does not affect current management. Therefore, it generally should not be reported as an additional diagnosis solely because it appears in the past medical history.
Whether a diagnosis is classified as a CC or MCC is a separate issue. A condition must first satisfy applicable reporting requirements before its MS-DRG severity classification matters. CDI specialists should never encourage coding of clinically irrelevant historical conditions merely because they could affect reimbursement.
This principle protects the clinical integrity of coded data and prevents inappropriate inflation of disease burden. CDI review should focus on conditions that meaningfully describe the patient's current hospitalization, treatment requirements, clinical risk, and resource consumption.
CCDS Reference Topics: Reporting additional diagnoses; secondary-diagnosis criteria; medical-record review; resource utilization; coding compliance.
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질문 # 142
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