CCDS-O Practice Questions
Certified Clinical Documentation Specialist-Outpatient (CCDS-O)
Last Update 1 day ago
Total Questions : 140
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Our free Clinical Documentation Specialist practice questions crafted to reflect the domains and difficulty of the actual exam. The detailed rationales explain the 'why' behind each answer, reinforcing key concepts about CCDS-O. Use this test to pinpoint which areas you need to focus your study on.
A female patient presents for her yearly wellness check-up. Her vital signs are within normal limits with the exception of dyspnea. Her weight is 165 lbs, up 10 lbs from her previous clinic visit 2 weeks prior. Problem list includes diagnoses of obesity, COPD, heart failure, and diabetes without complications. The patient’s A1c noted 9.2 up from 7.2 from previous year wellness exam. Based on the clinical indicators, which of the following medications should be evaluated and addressed during this clinic visit?
Provider documentation states: “Patient is here for follow-up for multiple chronic conditions, including COPD, HTN, DM, and alcohol abuse. She admits to drinking more than she has in the past, starting in the early morning and consumes at least a pint a day. Her BP today is elevated at 165/89. Discussed medications and diet. As she continues to be dependent on alcohol, several treatment options were offered. She stated she would think about it.” Which of the following groups of diagnoses is supported by the clinical indicators described?
Which performance metric is MOST appropriate for an outpatient program to share with providers?
A CDI specialist is following up on a query while the provider is seeing patients in the clinic. The BEST action that will support a quick and compliant response to the query is to
Which component of the OPPS assigns payment rates based on procedure grouping?
ICD-10-CM code assignment can be supported by documentation from someone other than the patient’s provider in which of the following circumstances?
A patient is scheduled to see his PCP in 3 days. A CDI specialist notes that during the patient's last visit earlier this year, the problem list shows both DM 2 associated erectile dysfunction and DM 2 without complications. The last clinic note states that DM 2 with autonomic neuropathy was addressed. The CDI specialist should do which of the following FIRST?
PCP notes describe declining renal function with creatinine trending upward over the last 12 months. Nephrology consult ordered. Which of the following diagnostic tests could support a query to identify status of the patient’s baseline renal function?
Which of the following adds weight to the risk score over and above the CMS-HCC weights for individual conditions?
