P.S. Fast2test在Google Drive上分享了免費的2026 ACDIS CCDS-O考試題庫:https://drive.google.com/open?id=120sm40e3u3uuhZG3QpSAY9dBfMTkD3xh
我們Fast2test是一家專業的IT認證網站,它的認證成功率達到100%,許多考生實踐證明了的,因為我們Fast2test擁有一支強大的IT專家隊伍,他們致力於廣大考生的考試題及答案,為廣大考生的切身利益而服務,用自己專業的頭腦和豐富的經驗來滿足考生們的需求,根據考生的需求從各個角度出發,針對性的設計適用性強的考試培訓資料,也就是 ACDIS的CCDS-O考試培訓資料,包括試題及答案。
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ACDIS CCDS-O是IT專業人士的首選,特別是那些想晉升的IT職員。ACDIS的CCDS-O是一個可以給你的職業生涯帶來重大影響的考試,而獲得CCDS-O認證是作為IT職業發展的有力保證。CCDS-O考古題已經幫助了成千上萬的考生獲得成功,這是一個高品質的題庫資料。我們提供給您最近更新的CCDS-O題庫資料,來確保您通過認證考試,如果您一次沒有通過考試,我們將給您100%的退款保證。
問題 #117
Clinic documentation states: "Follow-up for post-induction chemotherapy for metastatic uterine cancer." To BEST identify the conditions being monitored and treated, a CDI specialist should
答案:C
解題說明:
When documentation states "metastatic uterine cancer," the most important missing element for complete, accurate outpatient coding is where the cancer has metastasized (the secondary site[s]). In ambulatory CDI, identifying secondary sites best clarifies the full scope of disease being monitored and treated because metastatic disease coding relies on documenting both the primary malignancy and the specific metastatic location(s) (e.g., lung, liver, bone, peritoneum, lymph nodes). This supports correct severity representation, risk capture, treatment intent, and medical necessity for ongoing chemotherapy follow-up. While tumor morphology can be clinically relevant, it is usually established earlier in the diagnostic pathway and does not, by itself, define current metastatic burden. Likewise, reviewing labs or MRI results may provide supportive indicators, but they do not replace provider documentation of the confirmed metastatic sites being managed. A compliant query focused on secondary sites prompts the provider to document the current metastatic disease status (active, responding, progressing) and specific locations, which most directly identifies the conditions under treatment.
問題 #118
A 62-year-old female with history of HTN, CAD, chronic cough and obesity is seen by her PCP. Which of the following treatment plans may result in a query?
答案:D
解題說明:
In outpatient CDI practice, a common reason to query is a mismatch between what is being evaluated/treated and what is explicitly documented as an active condition for the encounter. A diagnostic chest x-ray aligns with the already-documented symptom (chronic cough), and a nutrition specialist referral aligns with an established diagnosis (obesity); neither inherently suggests an undocumented condition. Prescribing captopril aligns with documented HTN management, so it generally would not create documentation ambiguity requiring clarification (even though ACE inhibitors can be associated with cough, the plan alone does not establish a new reportable diagnosis). In contrast, ordering an HbA1c often signals assessment for diabetes, impaired glucose regulation, or monitoring of known diabetes. Because diabetes is not listed in the history provided, the HbA1c order may prompt the CDI specialist to query whether the provider is evaluating a suspected or existing glycemic disorder, whether there is a diagnosis such as prediabetes/diabetes being addressed, and to ensure the record clearly supports the medical necessity and any reportable condition.
問題 #119
Upon retrospective review of a patient visit 2 weeks prior, a CDI specialist notes physician documentation stating the following: "Sick Sinus Syndrome in 2016 s/p pacemaker placement. Latest EKG shows normal paced rhythm." There are no codes noted for Sick Sinus Syndrome or the pacemaker. Which of the following is the BEST course of action for the CDI specialist?
答案:D
解題說明:
In outpatient CDI, diagnoses reported for an encounter must be supported as current and clinically relevant to that visit (evaluated, monitored, assessed, treated, or otherwise affecting care). The note documents a history of sick sinus syndrome with pacemaker placement in 2016 and indicates the current rhythm is paced. The most clearly reportable, present condition is the presence of a cardiac pacemaker, which is a status that can affect clinical decision-making (e.g., interpretation of rhythm findings, medication choices, procedures, and future cardiac evaluation) and is appropriate to code when documented. However, the documentation does not show that sick sinus syndrome itself was actively assessed or managed during this visit; it is referenced as a past condition leading to the device. Because outpatient coding does not assume an active diagnosis solely from historical mention, the best action is to capture the pacemaker status code only. Retrospective amendment requests or rebilling steps are not the first-line CDI action when the documentation does not support active management of the underlying arrhythmia.
問題 #120
Which coding guideline is primarily used to assign ICD-10-CM codes in outpatient settings?
答案:B
解題說明:
ICD-10-CM diagnosis code assignment in the outpatient setting is governed primarily by the ICD-10-CM Official Guidelines for Coding and Reporting sections applicable to outpatient services. Outpatient rules differ from inpatient because there is no "principal diagnosis" established "after study" for an admission; instead, outpatient coding generally relies on the reason for the encounter and the conditions evaluated/managed that day, including documented chronic conditions that meet reporting criteria (often framed operationally as MEAT: monitor, evaluate, assess/address, treat). UHDDS is an inpatient discharge dataset concept used to define principal diagnosis and other inpatient reporting constructs, not the outpatient foundation. CPT guidelines govern procedure coding, not diagnosis coding; while CPT and ICD-10-CM must be consistent, CPT guidance does not replace ICD-10-CM outpatient diagnostic rules. From an outpatient CDI perspective, this is why documentation must clearly support encounter diagnoses, their status (active vs history), specificity (type, acuity, manifestations), and medical necessity for services rendered-so the outpatient ICD-10-CM guidelines can be applied correctly and consistently.
問題 #121
A CDI specialist manager is reviewing the productivity metrics of the outpatient team and notes that one of the CDI specialists has a high query rate and a good physician response, but a low physician agree rate compared to the rest of the team. This likely indicates which of the following?
答案:B
解題說明:
A high query rate with a strong physician response rate shows the CDI specialist is generating many queries and providers are opening/responding to them. However, a consistently low agree rate indicates providers frequently select "disagree," "clinically undetermined," or otherwise do not validate the query's suggested clarification. In outpatient CDI program management, that pattern most often reflects query quality problems-for example, queries that are not well-supported by encounter-specific clinical indicators, queries that are vague or overly speculative, or queries that do not align with outpatient reportability standards (e.g., prompting for diagnoses not clearly monitored/evaluated/assessed/treated). While leading queries are a compliance concern, the more direct operational inference from "high volume + answered + not agreed with" is that the queries are not clinically compelling or are poorly constructed, resulting in frequent provider non-concurrence. Case complexity alone would not reliably drive low agree rates if the queries were appropriately targeted and evidence-based. Therefore, the most likely interpretation is poor-quality queries requiring coaching on clinical support, clarity, and compliant construction.
問題 #122
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從Google Drive中免費下載最新的Fast2test CCDS-O PDF版考試題庫:https://drive.google.com/open?id=120sm40e3u3uuhZG3QpSAY9dBfMTkD3xh