ACDIS CCDS인증시험이 이토록 인기가 많으니 우리Itcertkr에서는 모든 힘을 다하여 여러분이 응시에 도움을 드리겠으며 또 일년무료 업뎃서비스를 제공하며, Itcertkr 선택으로 여러분은 자신의 꿈과 더 가까워질 수 있습니다. 희망찬 내일을 위하여 Itcertkr선택은 정답입니다. Itcertkr선택함으로 당신이 바로 진정한IT인사입니다.
| Section | Weight | Objectives |
|---|---|---|
| Healthcare facility CDI program analysis | 8.33% | - CDI program forecasting - PEPPER data - Tracking and trending physician, department, and hospital performance - Provider response rates - CC/MCC capture - Publicly reported data - Hospital-specific financial data - Hospital Value-Based Purchasing measures - Basic computer and software application skills - High-frequency DRGs - Case mix index (CMI) - CDI specialist productivity metrics - Physician performance measurement - Patient Safety Indicators - Severity of illness and risk of mortality |
| Professionalism, ethics, and compliance | 9.17% | - CDI department goals beyond reimbursement - Compliance risks indicated by PEPPER - Leading queries - DRG compliance initiatives - Medical record confidentiality - Potential DRG creep |
| Healthcare regulations, reimbursement, and documentation requirements related to the IPPS | 12.5% | - Documentation and medical necessity of setting - IPPS and its updates and revisions - Inpatient admission criteria and CMS Two-Midnight Rule - Complication/comorbidity (CC) - Major complication/comorbidity (MCC) - Medicare Severity Diagnosis Related Groups (MS-DRGs) - Medical staff and clinical staff documentation responsibilities - Principal diagnosis and medical necessity - Medicare contractors and their impact on CDI - Coding and billing practices vulnerable to denial - Case mix index (CMI) - Documentation impact on IPPS reimbursement |
| Official Guidelines for Coding and Reporting | 14.17% | - Discharge dispositions and transfers - Hospital-acquired conditions - Working DRG assignment for multiple diagnoses - AHA Coding Clinic - Principal diagnosis assignment - Present on admission indicators - Official Guidelines for Coding and Reporting updates - Coding guidelines for principal diagnosis selection - Secondary diagnosis assignment |
| Impact of reportable diagnoses on quality of care | 8.33% | - Quality data from record abstraction and claims data - Hospital-Acquired Condition Reduction Program - Hospital Value-Based Purchasing - Hospital Readmissions Reduction Program - Hospital Inpatient Quality Reporting Program - Healthcare-associated infections and complication codes - CDI impact on Hospital Value-Based Purchasing - 30-day mortality measures - Coded data elements affecting Patient Safety Indicators - Documentation and code assignment impact on mortality index - Patient Safety Indicators - Mortality reviews and observed/expected ratios |
| Anatomy and physiology, pathophysiology, pharmacology, and medical terminology | 19.17% | - Mental diseases and disorders - Diseases and disorders of the circulatory system - Infectious and parasitic diseases - Diseases and disorders of the blood and blood-forming organs and immunological disorders - Diseases and disorders of the kidney and urinary tract - Injuries, poisonings, and toxic effects of drugs - Diseases and disorders of the musculoskeletal system - Alcohol/drug use and alcohol/drug-induced organic brain disorders - HIV infections - Myeloproliferative diseases and disorders and poorly differentiated neoplasms - Clinical indicators and query opportunities by Major Diagnostic Category - Standard medical abbreviations - Diseases and disorders of the skin, subcutaneous tissue, and breast - Medications as clinical indicators - Diagnostic tests as clinical indicators - Diseases and disorders of the digestive system - Diseases and disorders of the respiratory system - Endocrine, nutritional, and metabolic diseases and disorders - Diseases and disorders of the hepatobiliary system - Pharmaceuticals and disease processes - Diseases and disorders of the nervous system |
| Medical record documentation | 19.17% | - Addressing diagnoses without clinical support - Physician query formats - ACDIS/AHIMA Guidelines for Achieving a Compliant Query Practice - Situations in which queries are not appropriate - Compliant and noncompliant queries - Health record elements used for diagnosis and procedure code assignment - Types of physician queries - Translating clinical indicators into compliant queries - When a physician query is warranted - Provider role and diagnosis code assignment - Documentation requiring clarification - Clinical indicators |
| Communication skills | 9.17% | - Effective and non-confrontational physician communication - Roles and responsibilities of CDI specialists - Roles and responsibilities of coders working with CDI departments - Physician education forms and tools - Reconciling CDI working DRGs with final coded DRGs - Verbal versus written physician communication - Educational presentations for healthcare departments and administration |
저희 Itcertkr는 국제공인 IT자격증 취득을 목표를 하고 있는 여러분들을 위해 적중율 좋은 시험대비 덤프를 제공해드립니다. ACDIS CCDS 시험을 패스하여 자격증을 취득하려는 분은 저희 사이트에서 출시한ACDIS CCDS덤프의 문제와 답만 잘 기억하시면 한방에 시험패스 할수 있습니다. 해당 과목 사이트에서 데모문제를 다운바다 보시면 덤프품질을 검증할수 있습니다.결제하시면 바로 다운가능하기에 덤프파일을 가장 빠른 시간에 받아볼수 있습니다.
질문 # 39
A CDI program plans to develop a policy for addressing diagnoses that require clinical validation. According to the Guidelines for Achieving a Compliant Query Practice, which of the following should be addressed in the policy?
정답：B
설명：
A compliant clinical-validation process should include a defined escalation process. The AHIMA/ACDIS query guidance specifically recommends organizational query policies that address escalation when a query remains unanswered or when documentation and clinical-validation concerns cannot be resolved through the ordinary workflow. Escalation may involve CDI or coding leadership, a physician advisor, the chief medical officer, or other designated personnel according to organizational policy.
Option A is inappropriate because simply coding every documented diagnosis without addressing significant clinical-support concerns undermines data integrity and increases denial and compliance risk. Option B is also too absolute. Coding professionals cannot independently substitute their clinical judgment for that of the responsible provider; unclear or potentially unsupported diagnoses should be addressed through an established clarification and validation process. Option D is incorrect because queries may appropriately occur concurrently or retrospectively depending on the circumstances and organizational workflow.
The goal of clinical validation is not to force removal or confirmation of a diagnosis. It is to ensure that the provider has an opportunity to clarify whether the diagnosis accurately represents the patient's clinical condition and to document supporting reasoning where appropriate.
CCDS Reference Topics: Professionalism, ethics, and compliance; clinical validation; compliant query policies; escalation procedures.
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질문 # 40
Which of the following is considered by CMS to be a HAC requiring MS-DRG adjustment if not POA?
정답：A
설명：
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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질문 # 41
A patient with active breast cancer is admitted solely to receive a scheduled cycle of antineoplastic chemotherapy. No complication or acute disease process is responsible for the admission. Which diagnosis is generally sequenced first?
정답：A
설명：
When an inpatient encounter is solely for administration of chemotherapy, the encounter-for-chemotherapy code is generally sequenced first, followed by the code identifying the malignancy being treated.
This represents an important exception to the usual expectation that the underlying disease is the principal diagnosis. The circumstances of admission are specifically treatment administration rather than management of an acute complication of the malignancy.
If, however, the patient were admitted because of a complication-such as chemotherapy-induced neutropenic fever, dehydration, anemia, or another adverse effect-the principal-diagnosis analysis would follow the applicable guideline for that condition rather than automatically using the chemotherapy encounter code.
Similarly, if chemotherapy were administered incidentally during a hospitalization principally required for another condition, the encounter-for-chemotherapy code would not displace the actual principal diagnosis.
CDI professionals should therefore distinguish planned treatment encounters from admissions caused by complications of treatment or malignancy.
Clear documentation regarding the reason for admission, cancer site, treatment intent, metastatic disease, and complications helps support proper sequencing and accurate oncology data.
CCDS Reference Topics: Antineoplastic chemotherapy; encounter codes; neoplasm sequencing; principal diagnosis; oncology documentation.
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질문 # 42
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：D
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 # 43
A CDI specialist identifies a diagnosis that would change the case from a lower-weight MS-DRG to a higher- weight MS-DRG. The medical record contains no clinical indicators supporting that diagnosis. What is the BEST action?
정답：D
설명：
A query should not be issued solely because a diagnosis would increase reimbursement when the record contains no clinical basis for that diagnosis.
The 2026 ACDIS/AHIMA compliant-query guidance establishes that CDI clarification must be grounded in the patient's clinical record and directed toward ensuring accurate representation of clinical status. The updated guidance supersedes all previous versions and applies across CDI and coding environments.
Financial impact may occur as a consequence of accurate documentation, but it cannot be the clinical rationale for introducing an unsupported condition. A query containing a single unsupported diagnosis would also risk being leading or otherwise noncompliant.
Likewise, a coder cannot provisionally manufacture a diagnosis simply because it would affect the MS-DRG.
Code assignment depends on the documented clinical record and applicable coding conventions.
This principle applies equally in the opposite direction: if clarification could reduce reimbursement but is necessary to correct inaccurate, conflicting, or unsupported documentation, CDI should still pursue clarification. Effective CDI programs protect the integrity of the health record, not a predetermined financial outcome.
CCDS Reference Topics: Ethics; query compliance; clinical support; reimbursement neutrality; documentation integrity.
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질문 # 44
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Itcertkr 에서는 최선을 다해 여러분이ACDIS CCDS인증시험을 패스하도록 도울 것이며 여러분은 Itcertkr에서ACDIS CCDS덤프의 일부분의 문제와 답을 무료로 다운받으실 수 잇습니다. Itcertkr 선택함으로ACDIS CCDS인증시험통과는 물론Itcertkr 제공하는 일년무료 업데이트서비스를 제공받을 수 있으며 Itcertkr의 인증덤프로 시험에서 떨어졌다면 100% 덤프비용 전액환불을 약속 드립니다.
CCDS자격증공부: https://www.itcertkr.com/CCDS_exam.html