최신ACDIS Certified Clinical Documentation Specialist - CCDS무료샘플문제
문제1
The table below shows physician performance:
Which of the following physicians will have the most favorable mortality rate on a public website, such as Healthgrades.com?
The table below shows physician performance:
Which of the following physicians will have the most favorable mortality rate on a public website, such as Healthgrades.com?
정답: A
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문제2
The amount of the IPPS Indirect Medical Education Adjustment is determined by teaching intensity as measured by the hospital's number of residents compared to:
The amount of the IPPS Indirect Medical Education Adjustment is determined by teaching intensity as measured by the hospital's number of residents compared to:
정답: B
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문제3
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 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?
정답: B
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문제4
A patient's baseline creatinine is 1.1 mg/dL. On admission it is 1.2 mg/dL, and 36 hours later it rises to 2.4 mg
/dL after prolonged hypotension. Urine output declines substantially. Which condition presents the strongest clarification opportunity?
A patient's baseline creatinine is 1.1 mg/dL. On admission it is 1.2 mg/dL, and 36 hours later it rises to 2.4 mg
/dL after prolonged hypotension. Urine output declines substantially. Which condition presents the strongest clarification opportunity?
정답: B
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문제5
A CDI manager is evaluating physician participation in the program. Which metric most strongly indicates poor physician engagement?
A CDI manager is evaluating physician participation in the program. Which metric most strongly indicates poor physician engagement?
정답: C
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문제6
A registered dietitian documents severe malnutrition based on substantial weight loss, severe muscle depletion, and prolonged inadequate energy intake. The attending physician documents only "poor oral intake." What is the BEST action for the CDI specialist?
A registered dietitian documents severe malnutrition based on substantial weight loss, severe muscle depletion, and prolonged inadequate energy intake. The attending physician documents only "poor oral intake." What is the BEST action for the CDI specialist?
정답: A
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문제7
Which of the following principal diagnoses groups to MS-DRG 884, Organic Disturbances and Intellectual Disability?
Which of the following principal diagnoses groups to MS-DRG 884, Organic Disturbances and Intellectual Disability?
정답: B
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문제8
A hospital records 72 observed deaths, while its risk-adjustment model predicts 90 expected deaths. What is the observed-to-expected mortality ratio?
A hospital records 72 observed deaths, while its risk-adjustment model predicts 90 expected deaths. What is the observed-to-expected mortality ratio?
정답: A
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문제9
Under the FY 2026 Hospital-Acquired Condition Reduction Program, which hospitals are subject to the program's payment reduction?
Under the FY 2026 Hospital-Acquired Condition Reduction Program, which hospitals are subject to the program's payment reduction?
정답: D
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문제10
A CDI specialist reviews the MS-DRG mismatch report and notes a difference in a case. The coder noted that a current Coding Clinic affects the final coding of the record, which changed the MS-DRG assignment. To BEST understand this discrepancy, the specialist should FIRST:
A CDI specialist reviews the MS-DRG mismatch report and notes a difference in a case. The coder noted that a current Coding Clinic affects the final coding of the record, which changed the MS-DRG assignment. To BEST understand this discrepancy, the specialist should FIRST:
정답: B
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문제11
An 82-year-old patient with a urinary infection develops an acute fluctuating disturbance in attention, disorganized thinking, and altered level of consciousness. The family states the patient was cognitively normal three days earlier. Which condition is MOST consistent with this presentation?
An 82-year-old patient with a urinary infection develops an acute fluctuating disturbance in attention, disorganized thinking, and altered level of consciousness. The family states the patient was cognitively normal three days earlier. Which condition is MOST consistent with this presentation?
정답: A
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문제12
At discharge, the physician documents, "Possible gram-negative pneumonia." No later documentation rules out the condition. How should the diagnosis generally be handled for an inpatient admission?
At discharge, the physician documents, "Possible gram-negative pneumonia." No later documentation rules out the condition. How should the diagnosis generally be handled for an inpatient admission?
정답: D
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문제13
Hospital A is developing a query policy. Open-ended queries will be encouraged. The provider is expected to document on the query form, which will be retained as part of the health record. Hospital A will remove any unanswered queries and shred them to avoid any incomplete forms within the health record. Which of the following is considered a high-risk query practice?
Hospital A is developing a query policy. Open-ended queries will be encouraged. The provider is expected to document on the query form, which will be retained as part of the health record. Hospital A will remove any unanswered queries and shred them to avoid any incomplete forms within the health record. Which of the following is considered a high-risk query practice?
정답: B
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문제14
The attending physician documents "acute systolic heart failure," while a consultant documents "chronic diastolic heart failure" for the same episode of care. Which provider should ultimately clarify the conflicting diagnostic documentation for coding purposes?
The attending physician documents "acute systolic heart failure," while a consultant documents "chronic diastolic heart failure" for the same episode of care. Which provider should ultimately clarify the conflicting diagnostic documentation for coding purposes?
정답: C
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문제15
When reviewing a patient's chart in the ICU, a CDI specialist determines a query needs to be placed. As the query is being written, the attending physician is leaving the patient's room after completing rounds. Which of the following is the BEST action to take?
When reviewing a patient's chart in the ICU, a CDI specialist determines a query needs to be placed. As the query is being written, the attending physician is leaving the patient's room after completing rounds. Which of the following is the BEST action to take?
정답: A
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