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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.
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| Topic 2 | - 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.
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| Topic 3 | - Coding and Reporting, the Outpatient Prospective Payment System (OPPS), and provider coding
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| 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.
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| Topic 5 | - 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.
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| Topic 6 | - Healthcare regulations, reimbursement, and documentation requirements related to the Official Guidelines for
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Reference: https://acdis.org/sites/acdis/files/Handbook_CCDS_CCDS-O.pdf