ACDIS CCDS : Certified Clinical Documentation Specialist

CCDS pass collection

Exam Code: CCDS

Exam Name: Certified Clinical Documentation Specialist

Updated: Sep 28, 2026

Q & A: 152 Questions and Answers

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About ACDIS CCDS Exam

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ACDIS Certified Clinical Documentation Specialist Sample Questions:

Question #1

A patient with metastatic lung cancer is admitted solely for treatment of anemia caused by chemotherapy. The patient receives packed red blood cells and no treatment directed at the malignancy. Which diagnosis should be sequenced first?

  • A. Anemia due to chemotherapy
  • B. Metastatic disease
  • C. Lung cancer
  • D. Adverse effect of chemotherapy
Reveal Solution  Discussion  0

Correct Answer: A  🗳️

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Question #2

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?

  • A. Code the possible pneumonia as if established
  • B. Code only cough and fever
  • C. Code unspecified pneumonia only
  • D. Do not report pneumonia because "possible" is never reportable
Reveal Solution  Discussion  0

Correct Answer: A  🗳️

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Question #3

A hospital's case is assigned to an MS-DRG with a relative weight of 2.0000. What does the relative weight primarily indicate?

  • A. The patient is twice as sick as the average Medicare patient
  • B. The case is expected to consume approximately twice the average relative resources
  • C. The patient's expected mortality is twice the national rate
  • D. The hospital should bill twice its normal charges
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Correct Answer: B  🗳️

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Question #4

For FY 2026 Hospital Value-Based Purchasing, each of the four scored domains generally contributes what percentage to the Total Performance Score when all four domains are scored?

  • A. 40%
  • B. 10%
  • C. 25%
  • D. 20%
Reveal Solution  Discussion  0

Correct Answer: C  🗳️

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Question #5

A patient is admitted with hypertension and acute systolic heart failure. The provider does not explicitly link the two conditions and does not state that they are unrelated. Which coding principle applies?

  • A. Hypertension and heart failure must always be coded separately unless the physician states
    "hypertensive"
  • B. A relationship may only be recognized when hypertension is the principal diagnosis
  • C. Acute heart failure cannot be associated with hypertension
  • D. ICD-10-CM presumes a relationship between hypertension and qualifying heart disease unless documented as unrelated
Reveal Solution  Discussion  0

Correct Answer: D  🗳️

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