ACDIS CCDS-O Exam Syllabus Topics:

Topic	Details
Topic 1	and billing: Covers Official Coding Guidelines, OPPS reimbursement (APCs), and professional billing concepts including CPT E M codes and Medicare Physician Fee Schedule documentation.
Topic 2	Coding and Reporting, the Outpatient Prospective Payment System (OPPS), and provider coding
Topic 3	Quality, Regulatory, and Health Initiatives: Covers population health, MSSP, ACO models, MACRA MIPS, compliant query development, RADV audits, OIG compliance, problem list maintenance, and HIPAA requirements in outpatient CDI.
Topic 4	Risk Adjustment Models and Impact of Documentation and Coding: Covers CMS-HCC model fundamentals, RAF scoring, Medicare Advantage payments, hierarchies, disease interactions, and compliant HCC reporting requirements.
Topic 5	Diseases and Disease Processes and Application to the Clinical Chart Review: Covers clinical indicators across all ICD-10-CM chapters, applied to chart reviews, with recognition of medications, diagnostic tests, and abbreviations as documentation clarification triggers.

Reference: https://acdis.org/sites/acdis/files/Handbook_CCDS_CCDS-O.pdf

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ACDIS Certified Clinical Documentation Specialist-Outpatient Sample Questions:

Question #1

Which of the following contributes to the risk adjustment score under the CMS-HCC model?

A. Income status and disability status
B. Cost of care provided and hospital readmissions
C. Health status and previous risk score
D. Enrollment eligibility status and reported conditions

Reveal Solution Discussion 0

Correct Answer: D 🗳️