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Updated: Aug 15, 2026

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ACDIS CCDS-O Exam Overview:

Certification Vendor:ACDIS
Exam Name:Certified Clinical Documentation Specialist-Outpatient (CCDS-O) Exam
Exam Number:CCDS-O
Exam Price:$280 (ACDIS members), $380 (non-members), +$100 international fee
Passing Score:85 out of 120 scored questions
Available Languages:English
Exam Format:Multiple-choice questions, Computer-based, Remotely proctored or test center delivery
Real Exam Qty:140 (120 scored, 20 unscored)
Certificate Validity Period:2 years
Related Certifications:Certified Clinical Documentation Specialist (CCDS)
Exam Duration:150 minutes
Recommended Training:CCDS-O Official Study Guide
CCDS-O Exam Candidate Handbook
Exam Registration:Prometric Scheduling
ACDIS Certification Application
Sample Questions:ACDIS CCDS-O Sample Questions
Exam Way:Computer-based testing at Prometric centers or remote proctoring via ProProctor
Pre Condition:RN, MD, DO, or HIM/coding certification (RHIA, RHIT, CCS, CPC, CRC, COC) + 2 years outpatient CDI experience; OR 1 year outpatient + 1 year inpatient CDI experience; minimum 2,000 hours per year
Official Syllabus URL:https://acdis.org/certification/ccds-o

ACDIS CCDS-O Exam Syllabus Topics:

TopicDetails
Topic 1
  • Healthcare regulations, reimbursement, and documentation requirements related to the Official Guidelines for
Topic 2
  • Coding and Reporting, the Outpatient Prospective Payment System (OPPS), and provider coding
Topic 3
  • CDI Program Concepts: Department Metrics and Provider Education: Covers provider education development, CDI performance metrics including query rates, RAF progression, HCC capture, ACO
  • MSSP impact, and physician documentation's effect on quality reporting.
Topic 4
  • 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 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.
Topic 6
  • and billing: Covers Official Coding Guidelines, OPPS reimbursement (APCs), and professional billing concepts including CPT E
  • M codes and Medicare Physician Fee Schedule documentation.

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

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