ACDIS CCDS Practice Test Questions Answers
Exam Code: CCDS
(Updated 150 Q&As with Explanation)
Exam Name: Certified Clinical Documentation Specialist
Last Update: 26-Sep-2026
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CCDS Overview
ACDIS CCDS Exam Overview
| Exam Detail | Information |
|---|---|
| Exam Name | Certified Clinical Documentation Specialist (CCDS) |
| Certification Provider | ACDIS (Association of Clinical Documentation Integrity Specialists) |
| Exam Focus | Clinical documentation integrity, coding, reimbursement, healthcare regulations and clinical knowledge |
| Target Role | Inpatient Clinical Documentation Integrity Specialist |
| Question Count | 140 multiple-choice questions |
| Scored Questions | 120 |
| Pretest Questions | 20 unscored questions |
| Question Options | A, B, C or D |
| Exam Duration | 3 hours |
| Passing Standard | 88 correct answers out of 120 scored questions |
| Exam Delivery | Prometric testing center or remote proctoring |
| Eligibility | Education/credential and inpatient CDI experience requirements apply |
| Certification Validity | 2 years |
| Exam Fee | $280 for ACDIS members / $380 for non-members |
| First Retake | $150 |
| Exam Administrator | Prometric, contracted by ACDIS |
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ACDIS CCDS Exam Topics Breakdown
| Exam Domain | Questions | Approx. Share of 140 Questions | Main Topics |
|---|---|---|---|
| I. Healthcare Regulations, Reimbursement & Documentation Requirements Related to IPPS | 15 | 10.7% | IPPS, MS-DRGs, medical necessity, inpatient admission, CC/MCC, CMI, Medicare contractors and reimbursement |
| II. Anatomy & Physiology, Pathophysiology, Pharmacology & Medical Terminology | 23 | 16.4% | Clinical indicators, disease processes, medications, diagnostic tests, anatomy, physiology and medical terminology |
| III. Medical Record Documentation | 23 | 16.4% | Medical-record review, documentation clarification, physician queries, clinical indicators and compliant queries |
| IV. Healthcare Facility CDI Program Analysis | 10 | 7.1% | CDI metrics, CMI, provider response rates, CC/MCC capture, productivity, forecasting and performance analysis |
| V. Communication Skills | 11 | 7.9% | Provider communication, physician education, CDI/coder roles, DRG reconciliation and effective communication |
| VI. Official Guidelines for Coding & Reporting | 17 | 12.1% | Principal/secondary diagnosis, coding guidelines, AHA Coding Clinic, POA indicators, HACs and DRG assignment |
| VII. Professionalism, Ethics & Compliance | 11 | 7.9% | Confidentiality, DRG compliance, query practices, OIG concerns, PEPPER and CDI ethics |
| VIII. Impact of Reportable Diagnoses on Quality of Care | 10 | 7.1% | Mortality, quality metrics, HVBP, HAC Reduction Program, readmissions, PSIs and CDI's impact on quality reporting |
| Total | 120 scored + 20 pretest | 100% of exam | — |
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