Free ACDIS CCDS-O Exam Questions

Question 1

A provider has been determined to be a high-cost provider after a total claims cost analysis. Theproviders patient panel has an overall low HCC average score. Which of the following is the MOSTlikely explanation regarding the low HCC average score?

A : The provider cares for patients of a higher acuity

B : The provider is failing to capture all relevant diagnoses

C : The provider has a less complex patient population

D : The provider is not reporting unspecified diagnoses

Answer: B

Question 2

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

A : Sleep apnea, depression, and HF

B : Diabetes, amputation, and skin ulcer

C : CAD, diabetes, and COPD

D : History of prostate cancer, arthritis, and A1C

Answer: B

Question 3

review]A patient returns to a PCP for follow-up care related to a UTI. The provider documents œstage 3 CKDas determined by a single eGFR of 52 mL/min. Which of the following actions should the CDIspecialist take?

A : Add diagnosis of CKD stage 3 to claim, as it is reportable.

B : Review CKD staging criteria with provider.

C : Delete CKD diagnosis from claim as it was not treated during this encounter.

D : Query for stage 4 CKD.

Answer: B

Question 4

review]A patient returns to a PCP for follow-up care related to a UTI. The provider documents œstage 3 CKDas determined by a single eGFR of 52 mL/min. Which of the following actions should the CDIspecialist take?

A : Add diagnosis of CKD stage 3 to claim, as it is reportable.

B : Review CKD staging criteria with provider.

C : Delete CKD diagnosis from claim as it was not treated during this encounter.

D : Query for stage 4 CKD.

Answer: B

Question 5

review]A patient returns to a PCP for follow-up care related to a UTI. The provider documents œstage 3 CKDas determined by a single eGFR of 52 mL/min. Which of the following actions should the CDIspecialist take?

A : Add diagnosis of CKD stage 3 to claim, as it is reportable.

B : Review CKD staging criteria with provider.

C : Delete CKD diagnosis from claim as it was not treated during this encounter.

D : Query for stage 4 CKD.

Answer: B