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ACDIS Certified Clinical Documentation Specialist Sample Questions:

Which CMS program can reduce an eligible hospital's Medicare base operating DRG payments by as much as
3% because of excess readmissions?

  • A. Medicare DSH Program
  • B. Hospital Value-Based Purchasing Program
  • C. Hospital Readmissions Reduction Program
  • D. Hospital-Acquired Condition Reduction Program
Reveal Solution  Discussion  0

Correct Answer: C  🗳️

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Which of the following is included among the FY 2026 Hospital-Acquired Condition Reduction Program measures?

  • A. CMS PSI 90
  • B. Query response rate
  • C. Case mix index
  • D. Patient satisfaction survey completion rate
Reveal Solution  Discussion  0

Correct Answer: A  🗳️

Explanation: Only visible for Lead1Pass members. You can sign-up / login (it's free).

An MS-DRG family is divided into three severity levels: with MCC, with CC, and without CC/MCC.
Assuming all other grouper conditions are identical, which secondary diagnosis category generally results in the highest severity-level assignment?

  • A. POA-exempt diagnosis
  • B. Non-CC
  • C. MCC
  • D. CC
Reveal Solution  Discussion  0

Correct Answer: C  🗳️

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A CDI specialist drafts the following query:
"Please document acute respiratory failure because the patient's oxygen saturation is 84% and this diagnosis will qualify as an MCC." What is the MOST appropriate action?

  • A. Submit the query only after obtaining coding-manager approval
  • B. Remove the reimbursement language and construct a neutral clinically supported query
  • C. Submit the query because the clinical indicator is valid
  • D. Replace "MCC" with "CC" and submit the query
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

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A CDI specialist identifies fever, leukocytosis, tachycardia, positive blood cultures, and IV antibiotic treatment. No infectious diagnosis has been documented. Which query approach is MOST compliant?

  • A. "Can you confirm that the patient has sepsis? Yes or No."
  • B. "Please document sepsis because the patient meets sepsis criteria."
  • C. Wait until discharge and automatically code sepsis if antibiotics are continued
  • D. Present the relevant clinical indicators and offer clinically reasonable diagnostic choices, including an alternative response
Reveal Solution  Discussion  0

Correct Answer: D  🗳️

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