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ACDIS Certified Clinical Documentation Specialist Sample Questions:

Two MS-DRGs have relative weights of 0.85 and 2.10. Which statement is MOST accurate?

  • A. The 2.10 DRG is associated with greater relative expected resource consumption
  • B. The 0.85 DRG represents a higher risk of mortality
  • C. The 2.10 DRG guarantees twice the hospital's billed charges
  • D. Relative weight measures physician performance rather than resource use
Reveal Solution  Discussion  0

Correct Answer: A  🗳️

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A patient develops a surgical-site infection after abdominal surgery and is admitted with sepsis. The surgeon clearly documents "sepsis due to postoperative wound infection." Which diagnosis category is generally sequenced first?

  • A. The postprocedural infection code identifying the surgical-site infection
  • B. Severe sepsis
  • C. The systemic sepsis code
  • D. Fever
Reveal Solution  Discussion  0

Correct Answer: A  🗳️

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A hospital's query policy states that all answered queries will be retained, but all unanswered queries that might delay billing will be permanently destroyed. What is the PRIMARY compliance concern?

  • A. Providers should never receive written queries
  • B. Selectively destroying unanswered queries undermines a consistent and auditable query-retention process
  • C. All queries must remain in the permanent medical record forever
  • D. Only answered queries are legally permitted in the health record
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

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A hospital records 72 observed deaths, while its risk-adjustment model predicts 90 expected deaths. What is the observed-to-expected mortality ratio?

  • A. 1.80
  • B. 1.20
  • C. 1.25
  • D. 0.80
Reveal Solution  Discussion  0

Correct Answer: D  🗳️

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A physician documents acute kidney injury. The patient's creatinine is 0.8 mg/dL on admission, 0.9 mg/dL the following day, and 0.8 mg/dL at discharge. Urine output remains normal and no renal treatment is provided.
What is the BEST CDI action?

  • A. Change the diagnosis to chronic kidney disease
  • B. Initiate a clinical validation query
  • C. Remove acute kidney injury from the chart
  • D. Accept acute kidney injury because the physician documented it
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

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