Exam style questions across every CCDS domain
Last Update 4 days ago
Total Questions : 150
Start with our free CCDS practice questions, carefully crafted to mirror the domains, phrasing, and difficulty of the real Clinical Documentation Specialist exam. Each CCDS exam question comes with a detailed rationale that explains not just which answer is correct but why the others fall short. That's how concepts stick. Use the free set to benchmark yourself: identify your ACDIS weak domains, see where you're losing marks, and build a focused study plan in minutes.
A patient undergoes colorectal surgery. On postoperative day 2, the physician documents “ileus.” The record shows absent bowel sounds and abdominal distention, but the surgeon also states that delayed bowel function is expected at this stage of recovery. Which action is MOST appropriate?
A physician is completing rounds when a CDI specialist identifies conflicting documentation that can be clarified immediately. Which approach is MOST appropriate?
A patient's baseline serum creatinine is 0.9 mg/dL. Forty-eight hours after admission, the creatinine is 1.5 mg/dL. Urine output has also decreased. Which condition is most appropriate for the CDI specialist to consider as a clarification opportunity?
A hospital had 1,000 inpatient discharges during a reporting period. The sum of the MS-DRG relative weights for those discharges was 1,750. What is the hospital's case mix index (CMI)?
An operative report states that the surgeon performed an excisional debridement of a heel wound. The report documents removal of necrotic tissue but does not identify the deepest tissue level removed. What should the CDI specialist clarify?
A CDI director wants to evaluate whether physicians are consistently addressing clarification requests. Which metric most directly measures this aspect of physician engagement?
A CDI specialist submits a neutral query regarding possible acute blood loss anemia. The physician answers “clinically unable to determine.” The CDI specialist believes documenting the diagnosis would increase reimbursement substantially. What is the MOST appropriate next action?
A CDI manager notes that the physician query response rate is 98%, but only 55% of queries are answered before discharge. Which metric should receive the MOST immediate workflow analysis?
Each MS-DRG has a relative weight (RW). RW is primarily associated with which of the following?
An arterial blood gas shows pH 7.24, PaCO₂ 72 mmHg, and HCO₃⁻ 30 mEq/L in a patient with COPD and acute respiratory distress. Which acid-base abnormality is primarily demonstrated?
