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ACDIS Certified Clinical Documentation Specialist Sample Questions:
A hospital reports 80 observed deaths when its risk-adjustment methodology predicted 100 expected deaths.
What is the observed-to-expected mortality ratio, and what does it indicate?
- A. 0.80; observed deaths are 20% below expected
- B. 1.25; observed deaths are 25% above expected
- C. 0.80; observed deaths are 80% above expected
- D. 1.25; observed deaths are 25% below expected
Correct Answer: A 🗳️
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When a physician documents the abbreviation "HCAP" in the health record, the BEST action for a CDI specialist to take is to:
- A. Assign the working code for complex pneumonia
- B. Assign the working code for pneumonia
- C. Query the physician for healthcare-acquired pneumonia
- D. Query the physician for the specificity of the pneumonia
Correct Answer: D 🗳️
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Which of the following diagnoses is classified as a major complication/comorbidity (MCC) under the FY
2026 MS-DRG system?
- A. Chronic systolic heart failure
- B. Bacteremia
- C. Severe protein-calorie malnutrition
- D. Uncomplicated COPD
Correct Answer: C 🗳️
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The progress note on hospital day 2 of a patient's admission states that the patient got up from the bed to go to the bathroom just after housekeeping had mopped the floor. The patient slipped and fell onto the floor, sustaining a broken wrist. The diagnosis of a fractured wrist will:
- A. Not be coded because it is a hospital-acquired condition
- B. Not be recognized as a CC because it was a hospital-acquired condition
- C. Be coded and assigned a POA of "U"
- D. Be considered a CC for calculation of the final MS-DRG
Correct Answer: B 🗳️
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A patient with abdominal pain and melena is found to have a duodenal ulcer with hemorrhage. The CDI specialist would look for clinical indicators to support which of the following conditions?
- A. Acute iron deficiency anemia
- B. Acute posthemorrhagic anemia
- C. Hemolytic anemia
- D. Blood loss anemia
Correct Answer: B 🗳️
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