ACDIS CCDS-O : Certified Clinical Documentation Specialist-Outpatient

Exam Code: CCDS-O

Exam Name: Certified Clinical Documentation Specialist-Outpatient

Updated: Aug 27, 2026

Q & A: 137 Questions and Answers

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ACDIS CCDS-O Exam Syllabus Topics:

Topic	Details
Topic 1	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.
Topic 2	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.
Topic 3	and billing: Covers Official Coding Guidelines, OPPS reimbursement (APCs), and professional billing concepts including CPT E M codes and Medicare Physician Fee Schedule documentation.
Topic 4	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.
Topic 5	CDI Program Concepts: Department Metrics and Provider Education: Covers provider education development, CDI performance metrics including query rates, RAF progression, HCC capture, ACO MSSP impact, and physician documentation's effect on quality reporting.
Topic 6	Healthcare regulations, reimbursement, and documentation requirements related to the Official Guidelines for

Reference: https://acdis.org/sites/acdis/files/Handbook_CCDS_CCDS-O.pdf

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