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CCDS-O Certified Clinical Documentation Specialist-Outpatient (CCDS-O) is now Stable and With Pass Result | Test Your Knowledge for Free

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CCDS-O Practice Questions

Certified Clinical Documentation Specialist-Outpatient (CCDS-O)

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Total Questions : 140

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Question # 31

A prospective record review of a problem list states: “Upper respiratory infection (resolved), fractured right femoral head (resolved), metastatic melanoma (followed by oncology), hypertension, morbid obesity, and bipolar disorder.” Which of the following query opportunities would provide the highest risk adjusted impact?

Options:

A.  

Body mass index

B.  

Sequelae related to fracture femur

C.  

Specificity of bipolar disorder

D.  

Status of metastatic melanoma

Discussion 0
Question # 32

A 67-year-old male patient has been seen by a PCP multiple times this year. Diagnoses reported are diabetes with nephropathy with an HCC weight of 0.166; diabetes with retinopathy with an HCC weight of 0.166; atrial fibrillation with an HCC weight of 0.299, and a demographic risk factor weight of 0.332. Which of the following is this patient’s final RAF score for these diagnoses?

Options:

A.  

0.932

B.  

0.797

C.  

1.418

D.  

0.678

Discussion 0
Question # 33

A patient presents to the office complaining of lower abdominal pain and burning urination. Urinalysis indicates WBC >10, positive nitrites, and leuk esterase. Documentation identifies pain, urinary frequency, and fever likely UTI. Cultures are pending for E-Coli. The patient is started on antipyretics and Levaquin. Which of the following conditions can be reported?

Options:

A.  

Abdominal pain, fever, and pyuria

B.  

UTI

C.  

E-Coli, UTI, and fever

D.  

Abdominal pain, fever, and urinary frequency

Discussion 0
Question # 34

Which coding guideline is primarily used to assign ICD-10-CM codes in outpatient settings?

Options:

A.  

Inpatient Coding Guidelines

B.  

Outpatient Coding Guidelines

C.  

Uniform Hospital Discharge Data Set

D.  

CPT Coding Guidelines

Discussion 0
Question # 35

Which of the following conditions or findings supports a diagnosis of diabetes?

Options:

A.  

2-hour blood sugar level of 90 during oral glucose tolerance test

B.  

Hemoglobin A1c (HbA1c) level of 7.0%

C.  

Hypoglycemia

D.  

Fasting glucose of 100

Discussion 0
Question # 36

In a year over year comparison, the total number of patients with the more specific diagnosis of morbid obesity versus unspecified obesity increased from 10,000 patients to 11,000 patients. Which of the following is the hypothetical increase in yearly reserve for that patient population? (Morbid obesity HCC value = 0.186 and PMPM = $800.00)

Options:

A.  

$148,800

B.  

$3,291,200

C.  

$1,785,600

D.  

$17,785,600

Discussion 0
Question # 37

E/M services must meet specific medical necessity criteria as defined by

Options:

A.  

National Medical Specialty Societies.

B.  

National Coverage Determinations and Local Coverage Determinations.

C.  

American Medical Association and American Hospital Association.

D.  

American Health Information Management Association.

Discussion 0
Question # 38

Which of the following best differentiates inpatient from outpatient coding guidelines?

Options:

A.  

Outpatient guidelines focus on principal diagnoses

B.  

Inpatient guidelines emphasize diagnosis sequencing and MS-DRGs

C.  

Both use the same guidelines with no differences

D.  

Outpatient coding ignores encounter diagnoses

Discussion 0
Question # 39

Which of the following physician performance metrics BEST illustrates provider engagement with outpatient CDI specialist?

Options:

A.  

Query response rates and problem list updates

B.  

Problem list updates and RAF capture rates

C.  

Physician MIPS scores and query response rates

D.  

Physician RAF scores and RAF capture rates

Discussion 0
Question # 40

An established patient is defined as one who has received professional services from the same or another physician or qualified healthcare professional from the exact same specialty and sub-specialty and belongs to the same group practice, within the past how many years?

Options:

A.  

1

B.  

2

C.  

3

D.  

4

Discussion 0
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