弊社のCCDS問題集は大勢の専門家たちの努力で開発される成果です。初心者といい、数年IT仕事を従事した人といい、我々MogiExamのACDIS CCDS問題集は最良の選択であると考えられます。なぜならば、弊社は高品質かつ改革によってすぐに更新できるCCDS問題集を提供できるからです。
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Medical record documentation | 19.17% | - ACDIS/AHIMA Guidelines for Achieving a Compliant Query Practice - Situations in which queries are not appropriate - Health record elements used for diagnosis and procedure code assignment - Compliant and noncompliant queries - Documentation requiring clarification - Physician query formats - Types of physician queries - Translating clinical indicators into compliant queries - Provider role and diagnosis code assignment - Addressing diagnoses without clinical support - When a physician query is warranted - Clinical indicators |
| Topic 2: Healthcare regulations, reimbursement, and documentation requirements related to the IPPS | 12.5% | - Medicare contractors and their impact on CDI - IPPS and its updates and revisions - Medicare Severity Diagnosis Related Groups (MS-DRGs) - Documentation impact on IPPS reimbursement - Coding and billing practices vulnerable to denial - Inpatient admission criteria and CMS Two-Midnight Rule - Documentation and medical necessity of setting - Principal diagnosis and medical necessity - Complication/comorbidity (CC) - Medical staff and clinical staff documentation responsibilities - Major complication/comorbidity (MCC) - Case mix index (CMI) |
| Topic 3: Healthcare facility CDI program analysis | 8.33% | - CC/MCC capture - Hospital-specific financial data - Severity of illness and risk of mortality - Basic computer and software application skills - High-frequency DRGs - Physician performance measurement - Hospital Value-Based Purchasing measures - Provider response rates - Publicly reported data - CDI program forecasting - Tracking and trending physician, department, and hospital performance - Patient Safety Indicators - CDI specialist productivity metrics - PEPPER data - Case mix index (CMI) |
| Topic 4: Professionalism, ethics, and compliance | 9.17% | - Leading queries - Medical record confidentiality - CDI department goals beyond reimbursement - Compliance risks indicated by PEPPER - DRG compliance initiatives - Potential DRG creep |
| Topic 5: Communication skills | 9.17% | - Educational presentations for healthcare departments and administration - Physician education forms and tools - Roles and responsibilities of CDI specialists - Effective and non-confrontational physician communication - Roles and responsibilities of coders working with CDI departments - Verbal versus written physician communication - Reconciling CDI working DRGs with final coded DRGs |
| Topic 6: Official Guidelines for Coding and Reporting | 14.17% | - Hospital-acquired conditions - AHA Coding Clinic - Official Guidelines for Coding and Reporting updates - Principal diagnosis assignment - Secondary diagnosis assignment - Coding guidelines for principal diagnosis selection - Present on admission indicators - Working DRG assignment for multiple diagnoses - Discharge dispositions and transfers |
| Topic 7: Impact of reportable diagnoses on quality of care | 8.33% | - Mortality reviews and observed/expected ratios - Healthcare-associated infections and complication codes - 30-day mortality measures - Hospital-Acquired Condition Reduction Program - CDI impact on Hospital Value-Based Purchasing - Coded data elements affecting Patient Safety Indicators - Quality data from record abstraction and claims data - Hospital Value-Based Purchasing - Patient Safety Indicators - Hospital Readmissions Reduction Program - Documentation and code assignment impact on mortality index - Hospital Inpatient Quality Reporting Program |
| Topic 8: Anatomy and physiology, pathophysiology, pharmacology, and medical terminology | 19.17% | - Diagnostic tests as clinical indicators - Diseases and disorders of the circulatory system - Diseases and disorders of the digestive system - Diseases and disorders of the blood and blood-forming organs and immunological disorders - Pharmaceuticals and disease processes - Infectious and parasitic diseases - Diseases and disorders of the nervous system - Myeloproliferative diseases and disorders and poorly differentiated neoplasms - Clinical indicators and query opportunities by Major Diagnostic Category - Diseases and disorders of the respiratory system - Diseases and disorders of the hepatobiliary system - Medications as clinical indicators - HIV infections - Injuries, poisonings, and toxic effects of drugs - Alcohol/drug use and alcohol/drug-induced organic brain disorders - Mental diseases and disorders - Diseases and disorders of the musculoskeletal system - Diseases and disorders of the skin, subcutaneous tissue, and breast - Diseases and disorders of the kidney and urinary tract - Standard medical abbreviations - Endocrine, nutritional, and metabolic diseases and disorders |
質問と回答のみを提供するPDFバージョンの機能に満足できない場合は、CCDS試験の教材のAPPバージョンでさらに多くを提供できます。 APPバージョンは、実際のテストシーンをシミュレートするだけでなく、間違いを指摘し、何度も練習することに気付くことができます。 ACDIS CCDS試験の教材のこのバージョンはかなり強力です。 あなたが喜んでいるなら、あなたは毎日あなたのパフォーマンスをマークし、比較的あなたの勉強と準備を調整することができます。 CCDS試験の教材は、お客様の要求を満たすために最善を尽くします。
質問 # 57
Under the FY 2026 Hospital-Acquired Condition Reduction Program, which hospitals are subject to the program's payment reduction?
正解：C
解説：
Under the FY 2026 Hospital-Acquired Condition Reduction Program (HACRP), applicable subsection (d) hospitals in the worst-performing quartile based on the Total HAC Score receive a 1% payment reduction on applicable Medicare fee-for-service payments. CMS defines the worst-performing quartile as hospitals whose Total HAC Score is above the 75th percentile.
The FY 2026 program incorporates the CMS Patient Safety and Adverse Events Composite (PSI 90) plus five healthcare-associated infection measures: CLABSI, CAUTI, specified surgical-site infection, MRSA bacteremia, and C. difficile infection.
A single HAC does not automatically trigger the hospital-wide 1% HACRP reduction. Likewise, CMI is not the criterion used to determine HACRP penalties.
It is also important for CCDS candidates to distinguish the HAC Reduction Program from the separate DRA HAC/POA payment provision. CMS explicitly identifies them as distinct programs.
Accurate documentation and coding are important because quality measures rely on reliable clinical data, but CDI activity must remain focused on accurately representing the clinical record rather than manipulating quality metrics.
CCDS Reference Topics: HAC Reduction Program; PSI 90; HAI measures; quality payment; hospital performance.
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質問 # 58
A 34-year-old female was admitted from a group home with uncontrolled diabetes. A CDI specialist must query to specify the patient's mental incapacity since it makes management of the diabetes more difficult.
Which of the following terminology recognized by ICD-10-CM could result in the assignment of a comorbid condition?
正解：D
解説：
Severe intellectual disability is recognized ICD-10-CM terminology and maps to F72, Severe intellectual disabilities. The other phrases are not equivalent standardized ICD-10-CM diagnostic terminology.
This distinction is highly relevant to CDI. Terms used conversationally in the clinical record do not necessarily provide sufficient specificity or map cleanly to reportable ICD-10-CM diagnoses. When a patient's cognitive or developmental condition affects treatment, monitoring, self-management, nursing requirements, or the complexity of care, the CDI specialist should seek clinically appropriate provider documentation using recognized diagnostic terminology.
For FY 2026 MS-DRG logic, CMS identifies F72 as a CC, meaning it can qualify as a complication
/comorbidity when it meets secondary-diagnosis reporting requirements. That does not mean the CDI specialist should query merely for reimbursement impact. The query must be clinically justified by the record and should allow the provider to determine the correct diagnosis.
"Severe mental challenge," "acute mental incapacity," and "acute intellectual disability" do not represent the same codable disease classification.
CCDS Reference Topics: Medical terminology; mental/behavioral and neurodevelopmental disorders; CC recognition; clinically supported query opportunities.
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質問 # 59
A physician is completing rounds when a CDI specialist identifies conflicting documentation that can be clarified immediately. Which approach is MOST appropriate?
正解：B
解説：
Direct verbal communication can be an effective and appropriate CDI technique, particularly when the responsible physician is available and the issue can be clarified efficiently. The interaction must remain professional, clinically focused, and compliant with the organization's process for documenting or retaining verbal queries.
ACDIS specifically identifies collaboration with providers, verbal discussion, written queries, and resolution of missing, unclear, or conflicting documentation as core inpatient CDI responsibilities. The CCDS blueprint also tests situations in which personal or verbal communication may be preferable to written communication.
Option C is inappropriate because the CDI specialist should not direct the physician toward a diagnosis based on MS-DRG impact. The discussion should present the clinical issue neutrally and allow the physician to exercise independent clinical judgment.
There is also no rule requiring all queries to be electronic. Query format and retention should follow compliant organizational policies and current ACDIS/AHIMA standards. Waiting until final billing can unnecessarily delay resolution and undermine the advantages of concurrent CDI review.
Effective CDI communication balances clinical precision, efficiency, collegiality, and auditability.
CCDS Reference Topics: Verbal queries; physician communication; concurrent CDI; nonleading clarification; query documentation.
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質問 # 60
A patient with severe cachexia and substantial loss of appetite requires pharmacologic treatment to stimulate appetite. Which of the following medications is most commonly associated with this indication?
正解：B
解説：
Megestrol acetate is the correct choice. This item is adapted from an official ACDIS CCDS sample question in the Candidate Handbook, where Megace-megestrol acetate-is identified as the appropriate appetite- stimulating medication.
Megestrol acetate is a synthetic progestational agent with recognized appetite-stimulating effects. Current U.
S. prescribing information specifically identifies megestrol acetate oral suspension for anorexia, cachexia, or significant unexplained weight loss in patients with AIDS. Its use illustrates why CDI specialists need functional knowledge of pharmacology: medication profiles can provide clinically relevant clues to diagnoses under evaluation, although a medication alone never establishes a reportable diagnosis.
Memantine is primarily used in Alzheimer's disease and is not an appetite stimulant. Levothyroxine replaces thyroid hormone in hypothyroidism. Sibutramine was historically used for weight reduction rather than cachexia and is therefore directionally opposite to the desired effect.
In CDI review, identification of megestrol may prompt assessment of the record for malnutrition, cachexia, malignancy-related weight loss, HIV-associated wasting, or another underlying cause, but the provider must document the diagnosis.
CCDS Reference Topics: Pharmacology; cachexia; nutrition disorders; clinical indicators.
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質問 # 61
A patient is admitted with fever and weakness. On hospital day 3, final blood cultures identify an infection that the physician documents was present at the time of admission. Which statement about present-on- admission status is MOST accurate?
正解：D
解説：
A condition can be assigned present-on-admission status even when the definitive diagnosis is not made until later in the hospitalization. POA refers to whether the condition was present at the time the order for inpatient admission occurred, not the calendar date on which diagnostic confirmation became available.
This distinction is particularly relevant for infections, malignancies, fractures, acute vascular events, and other conditions whose definitive identification may require cultures, pathology, imaging, or additional diagnostic testing.
Therefore, a blood culture finalized on hospital day 3 does not automatically make the infection hospital acquired. The clinical record and provider documentation must establish whether the disease process was present at admission.
POA assignment applies to applicable principal and secondary diagnoses, not only the principal diagnosis.
CDI specialists should recognize unclear timing as a potential clarification opportunity because POA status can affect CMS Hospital-Acquired Condition payment logic and quality reporting.
The CCDS content outline expressly includes the basics of POA assignment and its impact on payment, as well as identification of CMS HACs.
CCDS Reference Topics: Present on admission; diagnosis timing; HACs; inpatient coding; quality reporting.
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質問 # 62
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