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  • Total Questions: 137
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  • Total Questions: 137
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Short on study time before your CCDS-O exam? The 137 practice questions at TestKingFree concentrate your effort on exactly what the ACDIS Certified Clinical Documentation Specialist-Outpatient exam measures, and every set is kept current for 2026.

ACDIS CCDS-O Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Clinical Conditions, Pathophysiology, and Chart Review20%- Disease processes across all body systems and documentation relevance
- Clinical indicators, diagnostic tests, medications, and documentation triggers
- Differentiating acute vs chronic, active vs historical conditions
Topic 2: CDI Program Concepts, Queries, and Quality20%- Regulatory compliance: HIPAA, OIG work plan, confidentiality
- Compliant query development: principles, structure, and non-leading language
- CDI metrics: query rates, capture rates, quality scores, denial prevention
- Problem list maintenance, provider education, and program operations
Topic 3: Healthcare Regulations, Reimbursement, and Documentation Requirements35%- Official Guidelines for Coding and Reporting (OCG) for ICD-10-CM
  • 1. Core concepts of first-listed diagnosis
  • 2. Coding guidelines for all ICD-10-CM chapters
- Provider coding and billing: CPT, Evaluation and Management (E/M), Medicare Physician Fee Schedule
- Outpatient Prospective Payment System (OPPS) and Ambulatory Payment Classifications (APCs)
- Alternative payment models: ACO, MSSP, MACRA/MIPS
Topic 4: Risk Adjustment Models and Documentation Impact25%- Medicare Advantage payment structure and documentation requirements
- Hierarchies, disease interactions, and compliant HCC reporting
- CMS-HCC model fundamentals and RAF scoring
- RADV audit concepts and documentation compliance

Frequently Asked Questions About ACDIS Certified Clinical Documentation Specialist-Outpatient

The ACDIS Certified Clinical Documentation Specialist-Outpatient exam (exam code CCDS-O) is the official ACDIS exam that leads to the Certified Clinical Documentation Specialist-Outpatient certification, sitting at the Specialist level of the ACDIS certification track. It is also connected with Certified Clinical Documentation Specialist (CCDS). If this is the credential you are working toward, the 137 practice questions at TestKingFree map directly to its objectives.

The ACDIS Certified Clinical Documentation Specialist-Outpatient exam includes 140 (120 scored, 20 unscored) questions, and you have 150 minutes to complete them. Divide the time limit by the question count and you get a tight average pace per item, so train yourself to flag time-consuming questions and return to them later instead of getting stuck. Before test day, run at least one full timed session in the TestKingFree test engine under the same limits — the clock should never surprise you.

The passing score for ACDIS Certified Clinical Documentation Specialist-Outpatient is 85 out of 120 scored questions, and the official registration fee is $280 (ACDIS members), $380 (non-members), +$100 international fee. A failed attempt means paying that fee in full again, so your preparation budget deserves the same attention as your study plan. A practical rule: book your exam date only after you can finish a TestKingFree practice test comfortably above the passing score more than once.

According to ACDIS, candidates should meet the following before registering: 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. Requirements can change, so confirm the latest details on the official exam page before you register.

You can register for the ACDIS Certified Clinical Documentation Specialist-Outpatient exam through the official channels below:

Exam delivery: Computer-based testing at Prometric centers or remote proctoring via ProProctor.

ACDIS lists the following official training options for this exam:

Formal training builds the theory; pair it with the 137 practice questions from TestKingFree to find out whether you are genuinely ready for the exam.

Yes. A free PDF demo of the CCDS-O practice questions is available to download, so you can judge the format and quality before paying anything. Every purchase also includes 365 days of free updates, and if your product expires you can extend the update service at a 50% discount.

Your order is covered by a conditional 100% money-back guarantee: if you take the corresponding exam within 60 days of purchase and do not pass, you may apply for a full refund. Exams taken within 3 days of purchase are not eligible, nor are free materials or expired orders, and the candidate name must match the payer name. To claim, submit a scanned enrollment slip and your official Score Report PDF within 2 days of the exam; claims are processed within 7 days. Prefer to keep studying? You can instead exchange your purchase for two free products of equal value while keeping the update service on your original one. Delivery itself is immediate: your product unlocks for instant download right after payment and a copy is emailed to you within a minute — if nothing arrives within 2 hours, contact our support team. There is no limit on the number of computers you can install it on.

The ACDIS Certified Clinical Documentation Specialist-Outpatient blueprint is divided into 4 major domains, starting with CDI Program Concepts, Queries, and Quality (20%), Clinical Conditions, Pathophysiology, and Chart Review (20%), and Healthcare Regulations, Reimbursement, and Documentation Requirements (35%). The full breakdown, including every subdomain and its weighting, is listed in the Exam Topics section above — review it against your own weak areas before scheduling the exam.

ACDIS Certified Clinical Documentation Specialist-Outpatient Sample Questions:

In which of the following ways does payment determination (risk score calculation) differ between HHS-HCCs and CMS-HCCs?

  • A. HHS-HCCs use current ICD-10-CM and CPT codes to predict the current year's spending.
  • B. HHS-HCCs use the previous year's ICD-10-CM and CPT codes to predict the next year's spending.
  • C. HHS-HCCs use the previous year's demographics/diagnoses to predict the next year's spending.
  • D. HHS-HCCs use the current year's demographics/diagnoses to predict the current year's spending.
Reveal Solution  Discussion  0

Correct Answer: D  🗳️

Explanation: Only visible for TestKingFree members. You can sign-up / login (it's free).

A 62-year-old female with history of HTN, CAD, chronic cough and obesity is seen by her PCP. Which of the following treatment plans may result in a query?

  • A. A visit with a nutrition specialist
  • B. Diagnostic chest x-ray
  • C. Order placed for hemoglobin A1c (HbA1c)
  • D. Prescription written for the ACE inhibitor captopril
Reveal Solution  Discussion  0

Correct Answer: C  🗳️

Explanation: Only visible for TestKingFree members. You can sign-up / login (it's free).

A patient is seen by an endocrinologist to manage his poorly controlled diabetes with peripheral neuropathy and claudication. The patient has had several toes amputated in prior years and currently has a non-healing ulcer on the left foot. The patient's additional chronic conditions consist of the following: HF, CAD, COPD, history of prostate cancer, arthritis, depression, and sleep apnea. Which of the following chronic conditions should the CDI specialist consider for future education regarding RAF impact with the endocrinologist?

  • A. CAD, diabetes, and COPD
  • B. History of prostate cancer, arthritis, and A1C
  • C. Sleep apnea, depression, and HF
  • D. Diabetes, amputation, and skin ulcer
Reveal Solution  Discussion  0

Correct Answer: D  🗳️

Explanation: Only visible for TestKingFree members. You can sign-up / login (it's free).

An African American male enrolled in Medicaid has not been taking his blood pressure medication. Which of the following factors impacts this beneficiary's risk score?

  • A. Medicaid status and gender
  • B. Patient noncompliance and age
  • C. ICD-10-CM codes and race
  • D. Medicaid status and race
Reveal Solution  Discussion  0

Correct Answer: A  🗳️

Explanation: Only visible for TestKingFree members. You can sign-up / login (it's free).

PCP notes describe the presence of atrial fibrillation for 10 days. Atenolol, sotalol and rivaroxaban are ordered. Possible ablation is discussed. Identify the type of atrial fibrillation described in this clinical scenario.

  • A. Paroxysmal
  • B. Chronic
  • C. Permanent
  • D. Persistent
Reveal Solution  Discussion  0

Correct Answer: D  🗳️

Explanation: Only visible for TestKingFree members. You can sign-up / login (it's free).

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