ACDIS Certified Clinical Documentation Specialist-Outpatient : CCDS-O

Exam Code: CCDS-O
Exam Name: Certified Clinical Documentation Specialist-Outpatient
Updated: Aug 21, 2026 Q & A: 137 Questions and Answers

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About ACDIS CCDS-O Exam

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.
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.
Topic 3	Healthcare regulations, reimbursement, and documentation requirements related to the Official Guidelines for
Topic 4	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 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.
Topic 6	Coding and Reporting, the Outpatient Prospective Payment System (OPPS), and provider coding

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

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