CCDS試験の質問に協力して、CCDS試験に合格し、CCDS証明書を正常に取得することをお約束します。以前のお客様に対する最近の調査によると、99％のACDISお客様が目標を達成できるため、最終的な目標の達成を支援するお手伝いができると考えています。ベッドサイドには、新しい知識の開発を管理するための高品質のCCDSテストガイドがあるため、すべてのCertified Clinical Documentation Specialist学習ポイントをバランスよく把握できます。
| Section | Weight | Objectives |
|---|---|---|
| Anatomy and physiology, pathophysiology, pharmacology, and medical terminology | 19.17% | - Anatomy, physiology, pathophysiology, pharmacology, and terminology - Clinical conditions and clinical indicators |
| Healthcare facility CDI program analysis | 8.33% | - CDI productivity, provider response, CMI, and program metrics - Data analysis, forecasting, and performance measurement |
| Medical record documentation | 19.17% | - Documentation requirements and diagnosis or procedure code assignment - Documentation clarification and compliant physician queries |
| Impact of reportable diagnoses on quality of care | 8.33% | - Quality metrics, reporting programs, and financial impact - Mortality, severity of illness, and risk of mortality |
| Healthcare regulations, reimbursement, and documentation requirements related to the IPPS | 12.5% | - CC/MCC, CMI, Medicare contractors, and compliance - IPPS, MS-DRGs, reimbursement, and medical necessity |
| Official Guidelines for Coding and Reporting | 14.17% | - Coding guidelines, AHA Coding Clinic, HACs, and POA indicators - Principal and secondary diagnosis assignment |
| Professionalism, ethics, and compliance | 9.17% | - Query compliance, DRG creep, and audit risks - Confidentiality, DRG compliance, and ethical CDI practices |
| Communication skills | 9.17% | - Physician education and effective communication - CDI and coding roles and interdisciplinary collaboration |
CCDS認定試験について、あなたはどうやって思っているのですか。非常に人気があるACDISの認定試験の一つとして、この試験も大切です。しかし、試験の準備をよりよくできるために試験参考書を探しているときに、優秀な参考資料を見つけるのはたいへん難しいことがわかります。では、どうしたらいいでしょうか。大丈夫ですよ。ShikenPASSはあなたの望みを察して、受験生の皆さんの要望にこたえるために、一番良い試験CCDS問題集を提供してあげます。
質問 # 40
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：C
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 # 41
A patient is admitted with a documented diagnosis of acute hypoxic respiratory failure. Which of the following clinical data BEST supports the diagnosis?
正解：C
解説：
Option A provides the strongest clinical support for acute hypoxic respiratory failure because it demonstrates substantial respiratory distress and progressive need for oxygen/ventilatory support. Tripod positioning is an objective sign of increased work of breathing. Escalation to a non-rebreather mask indicates a substantial oxygen requirement, and subsequent endotracheal intubation demonstrates failure of less invasive respiratory support.
Acute respiratory failure is ultimately a provider diagnosis, and no single oxygen-saturation threshold establishes it in every patient. A CDI specialist therefore evaluates the entire clinical picture: oxygenation, baseline respiratory status, work of breathing, arterial blood gases when available, escalating oxygen requirements, ventilatory support, and treatment intensity.
An SaO# of 91% on low-flow oxygen may represent clinically important hypoxemia, but without additional evidence it is less compelling than the severe respiratory compromise described in option A. Likewise, a patient with COPD who chronically uses 2 L/min oxygen and maintains an SaO# of 94% may simply be at baseline.
FY 2026 ICD-10-CM guidance recognizes acute respiratory failure as a reportable diagnosis and permits it as principal or secondary depending on the circumstances of admission.
CCDS Reference Topics: Respiratory failure; clinical indicators; pathophysiology; clinical validation.
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質問 # 42
A 91-year-old has a past medical history of heart failure, COPD, and adenocarcinoma of the lung and brain.
The patient presents with shortness of breath, weakness, and pain. His vital signs are T 99°F, RR 18, BP 108
/74, and pulse 110. Pulse oximetry is 98% on 2 L nasal cannula. He is admitted with HCAP, COPD, and diastolic heart failure.
Initial laboratory values are:
Hgb: 9.0
Sodium: 134.0
WBC: 12.9
The physician orders antibiotics and 2 L nasal cannula. Based upon the information provided above, which of the following queries would be MOST appropriate?
正解：D
解説：
The most appropriate clarification concerns the underlying cause/type of pneumonia. The record documents
"HCAP," but that term does not identify a specific causative organism or pathophysiologic pneumonia type.
The patient is being actively treated with antibiotics, has leukocytosis, and was admitted with pneumonia- related documentation, creating a legitimate opportunity to clarify clinically supported specificity.
The other options are weaker. Hemoglobin of 9.0 supports anemia but does not establish acute blood loss anemia without evidence of active/recent blood loss or an acute decline. Sodium of 134 mEq/L is only mildly reduced and, without treatment or other clinical significance, does not by itself justify seeking a diagnosis solely from the laboratory value.
The record already specifies diastolic heart failure. Although acuity could sometimes warrant clarification, the presented findings do not strongly establish acute decompensated heart failure: oxygen requirement is modest, saturation is 98%, and no pulmonary edema, diuretic escalation, or other acute HF indicators are provided.
The query should remain neutral and allow the provider to identify the pneumonia type only if clinically determinable.
CCDS Reference Topics: Pneumonia specificity; clinical indicators; documentation clarification; query prioritization.
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質問 # 43
A patient is admitted for UTI with AMS. The physician documents "UTI due to Escherichia coli." CT scan of the head is negative, with AMS improving and family reporting the patient is now at baseline. Admission creatinine is 1.2 mg/dL and sodium is 146 mEq/L. Plan is discharge home today.
The CDI specialist should query for the:
正解：D
解説：
The clinically meaningful documentation gap concerns what condition actually occasioned the inpatient admission and whether the altered mental status represents a defined diagnosis associated with the episode.
The record identifies a UTI due to E. coli, but the patient also presented with AMS significant enough to undergo head CT evaluation. The AMS subsequently resolved to baseline.
A creatinine of 1.2 mg/dL alone does not establish acute kidney injury because AKI requires evidence of an acute change from baseline and appropriate clinical context. Similarly, sodium of 146 mEq/L is only minimally elevated and, without clinical evaluation or treatment demonstrating significance, does not justify a query designed to generate hypernatremia.
Merely clarifying AMS as acute versus chronic is also less useful than determining the actual diagnosis explaining the altered mental state and its relationship to the admission. Depending on provider judgment and supporting evidence, possibilities could include an acute encephalopathic process, delirium, symptoms associated with infection, or another condition.
The query should remain neutral and should not presume that the UTI caused the AMS.
CCDS Reference Topics: Principal diagnosis clarification; AMS; clinical indicators; query prioritization; documentation integrity.
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質問 # 44
Under the Inpatient Prospective Payment System, the PACT rule affects MS-DRG payment. PACT is an acronym for which of the following?
正解：B
解説：
PACT stands for Post-Acute Care Transfer. The PACT policy is part of Medicare's IPPS transfer-payment framework and can modify the normal full MS-DRG payment when a qualifying inpatient stay ends with an early transfer or discharge to specified post-acute settings.
CMS applies transfer-payment methodology when applicable conditions are met, including circumstances involving selected discharges to skilled nursing facilities, inpatient rehabilitation facilities, long-term care hospitals, psychiatric facilities, and certain home-health arrangements. For home health, the timing and relationship of post-discharge care can be relevant.
The policy exists because a short acute-care hospitalization followed by transfer to another care setting may not involve the same hospital resource utilization as a conventional discharge completing the expected course of inpatient treatment. Accordingly, the transferring hospital may receive a calculated transfer payment rather than the unrestricted full MS-DRG amount.
For CDI professionals, PACT illustrates why accurate discharge disposition and documentation can affect reimbursement even when the principal diagnosis, procedures, CCs, and MCCs are correctly captured.
CCDS Reference Topics: IPPS; MS-DRG reimbursement; discharge disposition; transfer payment policy.
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質問 # 45
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現在、試験銀行がシミュレーションテストを提供するような統合システムを持っていることはほとんどありません。 CCDS学習ツールについて学習した後、実際のCCDS試験を刺激することの重要性が徐々に認識されます。この機能により、練習システムがどのように動作するかを簡単に把握し、CCDS試験に関する中核的な知識を得ることができます。さらに、実際の試験環境にいるときは、質問への回答の速度と品質を制御し、エクササイズの良い習慣を身に付けることを学ぶことができます。そのため、CCDS試験に合格できます。
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