ACDIS Certified Clinical Documentation Specialist Sample Questions:
A patient with abdominal pain and melena is found to have a duodenal ulcer with hemorrhage. The CDI specialist would look for clinical indicators to support which of the following conditions?
- A. Acute iron deficiency anemia
- B. Blood loss anemia
- C. Hemolytic anemia
- D. Acute posthemorrhagic anemia
Correct Answer: D 🗳️
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A CDI specialist is asked to develop an educational presentation for a physician group on how documentation affects patient outcome measures within the CDI department. Which of the following is the MOST important measure to include when developing the presentation?
- A. expected/observed mortality ratio
- B. CDI/Coder agreement rates
- C. CC/MCC capture rate
- D. number of patients reviewed monthly
Correct Answer: A 🗳️
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A hospital reports 80 observed deaths when its risk-adjustment methodology predicted 100 expected deaths.
What is the observed-to-expected mortality ratio, and what does it indicate?
- A. 0.80; observed deaths are 80% above expected
- B. 1.25; observed deaths are 25% above expected
- C. 1.25; observed deaths are 25% below expected
- D. 0.80; observed deaths are 20% below expected
Correct Answer: D 🗳️
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Which of the following diagnoses is classified as a major complication/comorbidity (MCC) under the FY
2026 MS-DRG system?
- A. Bacteremia
- B. Uncomplicated COPD
- C. Severe protein-calorie malnutrition
- D. Chronic systolic heart failure
Correct Answer: C 🗳️
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What type of query is needed to compliantly address a scenario in which clinical indicators of a diagnosis exist, but for which no diagnosis has been documented in the medical record?
- A. yes or no query
- B. clinical validation query
- C. cause and effect query
- D. multiple choice query
Correct Answer: D 🗳️
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