ACDIS CCDS valid study dumps : Certified Clinical Documentation Specialist

  • Exam Code: CCDS
  • Exam Name: Certified Clinical Documentation Specialist
  • Updated: Sep 28, 2026
  • Q&As: 152 Questions and Answers

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About ACDIS Certified Clinical Documentation Specialist - CCDS Valid Dumps

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ACDIS Certified Clinical Documentation Specialist Sample Questions:

Question #1

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

Correct Answer: A  🗳️

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Question #2

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. End-stage renal disease
  • B. Nephrotic syndrome
  • C. Chronic kidney disease
  • D. Acute kidney injury
Reveal Solution  Discussion  0

Correct Answer: D  🗳️

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Question #3

A patient is admitted with right-sided weakness and aphasia. MRI confirms an acute left cerebral infarction.
Two days later, aphasia resolves but right-sided weakness remains. The physician's documentation continues to state "TIA." What should the CDI specialist do?

  • A. Code both diagnoses without clarification
  • B. Change TIA to cerebral infarction independently
  • C. Query the provider regarding cerebral infarction versus TIA based on the imaging and persistent deficit
  • D. Accept TIA because it was documented first
Reveal Solution  Discussion  0

Correct Answer: C  🗳️

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Question #4

A patient with sepsis has acute confusion, impaired attention, fluctuating mental status, and no focal neurologic findings. CT of the head is negative. The provider documents only "AMS secondary to infection." Which clarification would be MOST clinically appropriate?

  • A. Acute metabolic encephalopathy
  • B. Cerebral infarction
  • C. Chronic dementia
  • D. Transient global amnesia
Reveal Solution  Discussion  0

Correct Answer: A  🗳️

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Question #5

Which pressure-ulcer category is specifically included in the traditional CMS HAC payment policy when the condition is not present on admission?

  • A. Stage 3 and stage 4 pressure ulcers
  • B. Healed pressure ulcers only
  • C. All pressure injuries regardless of stage
  • D. Stage 1 and stage 2 pressure ulcers
Reveal Solution  Discussion  0

Correct Answer: A  🗳️

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