ACDIS CCDS덤프의 유효성을 보장해드릴수 있도록 저희 기술팀은 오랜시간동안ACDIS CCDS시험에 대하여 분석하고 연구해 왔습니다. ACDIS CCDS 덤프를 한번 믿고ACDIS CCDS시험에 두려움없이 맞서보세요. 만족할수 있는 좋은 성적을 얻게 될것입니다.
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Clinical Documentation Review & Query Practices | 20% | - Query development, communication, and ethical standards - Concurrent and retrospective chart review methodologies - Documentation gap identification and resolution |
| Topic 2: 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 |
| Topic 3: CDI Program Management & Professional Practice | 15% | - Ethics, HIPAA, and professional conduct - Provider education and training strategies - Program metrics, benchmarks, and performance measurement |
| Topic 4: 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) |
| Topic 5: Coding Guidelines & Official Reporting Standards | 15% | - ICD-10-CM/PCS Official Guidelines for Coding and Reporting - Coding integrity and compliant documentation practices - AHIMA/ACDIS Guidelines for Compliant Query Practice |
| Topic 6: Clinical Knowledge & Disease Processes Application | 20% | - Disease processes across body systems applied to chart review - Clinical indicators, lab results, medications, diagnostic findings - Medical terminology, anatomy, physiology, pathophysiology |
Pass4Test이 바로 아주 좋은ACDIS CCDS인증시험덤프를 제공할 수 있는 사이트입니다. Pass4Test 의 덤프자료는 IT관련지식이 없는 혹은 적은 분들이 고난의도인ACDIS CCDS인증시험을 패스할 수 있습니다. 만약Pass4Test에서 제공하는ACDIS CCDS인증시험덤프를 장바구니에 넣는다면 여러분은 많은 시간과 정신력을 절약하실 수 있습니다. 우리Pass4Test 의ACDIS CCDS인증시험덤프는 Pass4Test전문적으로ACDIS CCDS인증시험대비로 만들어진 최고의 자료입니다.
질문 # 79
Under the Inpatient Prospective Payment System, the PACT rule affects MS-DRG payment. PACT is an acronym for which of the following?
정답：A
설명：
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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질문 # 80
Which of the following is included among the FY 2026 Hospital-Acquired Condition Reduction Program measures?
정답：D
설명：
CMS PSI 90, the Patient Safety and Adverse Events Composite, is one of the six measures used in the FY
2026 HAC Reduction Program.
CMS states that the program uses one claims-based patient-safety composite-PSI 90-plus five healthcare- associated infection measures: CLABSI, CAUTI, colon and abdominal hysterectomy surgical-site infection, MRSA bacteremia, and C. difficile infection.
Case mix index is an MS-DRG resource-intensity statistic and is not a HACRP quality measure. Query- response rate is an internal CDI performance metric. Patient-experience measures belong to other CMS quality frameworks, including Hospital VBP, rather than constituting a HACRP measure.
For FY 2026, hospitals with Total HAC Scores above the 75th percentile-effectively the worst-performing quartile-are subject to a 1% payment reduction under the program.
A CDI specialist should also distinguish HACRP from the separate HAC/POA payment provision. CMS explicitly identifies them as distinct programs, even though both involve hospital-acquired conditions.
CCDS Reference Topics: HACRP; PSI 90; healthcare-associated infections; patient safety; quality reimbursement.
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질문 # 81
The attending physician documents morbid obesity. A registered dietitian documents a body mass index of
43.6 kg/m² in the nutritional assessment. Which of the following is the MOST accurate statement?
정답：C
설명：
BMI is one of the explicit ICD-10-CM exceptions permitting code assignment from documentation by a clinician other than the provider responsible for establishing the diagnosis. Therefore, the BMI of 43.6 may be taken from the dietitian's documentation, while the associated diagnosis of morbid obesity is supported by the attending physician's documentation.
The FY 2026 Official Guidelines specifically identify BMI, pressure-ulcer stage, non-pressure ulcer depth, coma scale, NIH Stroke Scale, certain social determinants, laterality, blood alcohol level, and several other elements as information that may be documented by other qualified clinicians. However, the associated diagnosis, such as obesity, must be documented by the patient's provider.
Option C incorrectly gives the dietitian's BMI documentation authority to establish the obesity diagnosis itself. Option D imposes an unnecessary discharge-summary requirement; valid diagnoses may be supported by appropriate provider documentation elsewhere in the health record according to applicable coding rules.
For CDI specialists, the key distinction is between a diagnosis and a permissible clinical detail used to further characterize that diagnosis.
CCDS Reference Topics: BMI; non-provider documentation; obesity; medical-record review; coding documentation exceptions.
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질문 # 82
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：A
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 # 83
A patient undergoes abdominal surgery. Two days later, the physician documents "postoperative anemia." The hemoglobin decreased from 12.4 g/dL preoperatively to 8.2 g/dL, but the record does not state whether the anemia represents an expected postoperative condition, acute blood loss anemia, or a complication of surgery. What should the CDI specialist do?
정답：D
설명：
The appropriate action is to query for clarification. A temporal relationship-anemia occurring after surgery- does not automatically establish that a reportable complication occurred. Likewise, a CDI specialist cannot independently translate a substantial hemoglobin decline into acute posthemorrhagic anemia without provider documentation.
The FY 2026 Official Guidelines state that complication-of-care code assignment depends on provider documentation establishing the relationship between the condition and the care or procedure unless the classification specifically instructs otherwise. They also emphasize that not every condition occurring during or following medical care is a complication.
The query could present the preoperative and postoperative hemoglobin values, estimated blood loss, transfusions, clinical monitoring, and treatment. Appropriate response options might include acute blood loss anemia, expected postoperative anemia, another diagnosis, or clinically unable to determine, depending on the record.
Option A overstates causation. Option B independently diagnoses the patient from laboratory findings. Option D is equally inappropriate because clinically significant postoperative anemia may be reportable.
CCDS Reference Topics: Complications of care; postoperative anemia; clinical indicators; cause-and-effect clarification; compliant querying.
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질문 # 84
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