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ACDIS Certified Clinical Documentation Specialist Sample Questions:
Under the FY 2026 Hospital-Acquired Condition Reduction Program, which hospitals are subject to the program's payment reduction?
- A. Hospitals in the worst-performing quartile based on the Total HAC Score receive a 1% reduction in applicable Medicare FFS payments
- B. Hospitals with a CMI below 1.0 receive a 2% reduction
- C. Hospitals with mortality rates above the national average receive a 2% reduction
- D. Every hospital reporting a single HAC receives a 1% reduction
Correct Answer: A 🗳️
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A registered dietitian documents severe malnutrition based on substantial weight loss, severe muscle depletion, and prolonged inadequate energy intake. The attending physician documents only "poor oral intake." What is the BEST action for the CDI specialist?
- A. Query the provider regarding the clinically supported nutritional diagnosis
- B. Ignore the dietitian's findings because they are not physician documentation
- C. Code severe malnutrition from the dietitian's documentation
- D. Assign unspecified malnutrition without a query
Correct Answer: A 🗳️
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A CDI specialist has been asked to present a report to hospital administration that will demonstrate the CDI program's impact over time. Which of the following reports will BEST accomplish this?
- A. PowerPoint presentation outlining the CDI goals and objectives
- B. line graph showing ROM and SOI by month
- C. document showing each CDI specialist's query rate
- D. pie graph showing the percentage of queries not answered
Correct Answer: B 🗳️
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Two diagnoses both meet the definition of principal diagnosis and either could appropriately be sequenced first under the circumstances of admission. No specific sequencing instruction directs otherwise. Which rule applies?
- A. Always sequence the oldest diagnosis
- B. Always sequence the diagnosis with the higher reimbursement
- C. Query solely to determine which diagnosis produces the higher MS-DRG
- D. Either diagnosis may be sequenced first
Correct Answer: D 🗳️
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The MOST important factor influencing a hospital's ability to capture the most accurate MS-DRG involves:
- A. Capture of clinical quality indicators
- B. Capture of patient satisfaction indicators
- C. Complete POA documentation
- D. Complete clinical documentation
Correct Answer: D 🗳️
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