CCDS-O by ACDIS Actual Free Exam Questions And Answers

Question 1

An elderly patient with a PMH of CHF, DM type 1, arthritis, and HTN is seen in the clinic for a follow-up appointment after a recent hospitalization. After an evaluation of the patient's current health status, the provider documents the following: "HFrEF: lungs clear, no edema, continue meds. DM: no changes to insulin pump. Arthritis: asymptomatic joint destruction. HTN: BP stable. Continue meds." Which of the following is the clarification opportunity in the above scenario?

A. A link between HTN and heart failure

B. A link between the DM and arthritis

C. The insulin status

D. The type and severity of heart failure

Discussion 0

Correct Answer: A Vote an answer

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Question 2

Calculate the expected yearly cost for this patient based on the RAF score.

A. $17,011.20

B. $5,836.80

C. $486.40

D. $12,672.00

Discussion 0

Correct Answer: B Vote an answer

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Question 3

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

A. National Medical Specialty Societies.

B. American Medical Association and American Hospital Association.

C. American Health Information Management Association.

D. National Coverage Determinations and Local Coverage Determinations.

Discussion 0

Correct Answer: D Vote an answer

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Question 4

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

A. Query response rates and problem list updates

B. Physician MIPS scores and query response rates

C. Physician RAF scores and RAF capture rates

D. Problem list updates and RAF capture rates

Discussion 0

Correct Answer: A Vote an answer

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Question 5

An ACO with 50,000 beneficiaries just completed its first year of a 3-year contract where the final scores were quality 90%; expected costs were $50 million, and actual costs were $52 million. The shared savings rate determined by CMS was 50%. Which of the following is MOST accurate and applies for the ACO?

A. The ACO will have shared savings or penalty determined at the end of the agreement period.

B. The ACO will expect to receive dollars in shared savings.

C. The ACO will expect to pay back dollars in shared savings.

D. The ACO will be eligible for shared savings after the second year.

Discussion 0

Correct Answer: C Vote an answer

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Question 6

A patient is evaluated in the primary care clinic for chest pain, slight shortness of breath, and mild nausea. Documentation includes an ECG and chest x-ray to rule out MI. Which of the following diagnoses are reportable?

A. Angina pectoris, unspecified, shortness of breath, and nausea

B. Rule out MI, shortness of breath, and nausea

C. Other chest pain, shortness of breath, and nausea

D. Acute MI, chest pain, shortness of breath, and nausea

Discussion 0

Correct Answer: C Vote an answer

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ACDIS Certified Clinical Documentation Specialist-Outpatient - CCDS-O Exam Practice Test

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