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ACDIS Certified Clinical Documentation Specialist-Outpatient : CCDS-O

CCDS-O

Exam Code: CCDS-O

Exam Name: Certified Clinical Documentation Specialist-Outpatient

Updated: Oct 11, 2026

Q & A: 137 Questions and Answers

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ACDIS CCDS-O Exam Syllabus Topics:

TopicDetails
Topic 1
  • CDI Program Concepts: Department Metrics and Provider Education: Covers provider education development, CDI performance metrics including query rates, RAF progression, HCC capture, ACO
  • MSSP impact, and physician documentation's effect on quality reporting.
Topic 2
  • Diseases and Disease Processes and Application to the Clinical Chart Review: Covers clinical indicators across all ICD-10-CM chapters, applied to chart reviews, with recognition of medications, diagnostic tests, and abbreviations as documentation clarification triggers.
Topic 3
  • Healthcare regulations, reimbursement, and documentation requirements related to the Official Guidelines for
Topic 4
  • Quality, Regulatory, and Health Initiatives: Covers population health, MSSP, ACO models, MACRA
  • MIPS, compliant query development, RADV audits, OIG compliance, problem list maintenance, and HIPAA requirements in outpatient CDI.

Reference: https://acdis.org/sites/acdis/files/Handbook_CCDS_CCDS-O.pdf

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ACDIS Certified Clinical Documentation Specialist-Outpatient Sample Questions:

Question #1
Which of the following acronyms is often used in considering reportability of conditions?

A. MEAT
B. RADV
C. OPPS
D. MACRA


Question #2
When evaluating a CDI specialist's performance, which of the following expectations is held to the same standard for both inpatient and outpatient initiatives?

A. Review productivity
B. Revenue impact
C. Query compliance
D. Query opportunities


Question #3
Which of the following payment models enables Medicare to forecast costs for Medicare Advantage members for the coming year?

A. Relative Value Scale
B. Ambulatory Payment Classification
C. Hierarchical Condition Categories
D. Geographic Practice Cost Indexes


Question #4
When a CDI specialist identifies a discrepancy in documentation, the next step is to:

A. Query the provider for clarification
B. Code the record as is
C. Escalate to compliance
D. Change the record


Question #5
Along with history and examination, which of the following is considered a key component in reporting evaluation and management services?

A. Medical decision making
B. Coordination of care
C. Nature of presenting problem
D. Review of systems


Solutions:

Question #1
Correct Answer: A
Question #2
Correct Answer: C
Question #3
Correct Answer: C
Question #4
Correct Answer: A
Question #5
Correct Answer: A

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