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ACDIS Certified Clinical Documentation Specialist Sample Questions:
A patient with severe cachexia and substantial loss of appetite requires pharmacologic treatment to stimulate appetite. Which of the following medications is most commonly associated with this indication?
- A. Memantine
- B. Sibutramine
- C. Megestrol acetate
- D. Levothyroxine
Correct Answer: C 🗳️
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A patient accidentally takes twice the prescribed dose of warfarin and develops gastrointestinal bleeding.
Which coding concept applies?
- A. Adverse effect because the drug was correctly prescribed
- B. Underdosing because the therapeutic effect was excessive
- C. No drug-related code is needed
- D. Poisoning because the medication was taken incorrectly
Correct Answer: D 🗳️
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Under the Hospital Readmissions Reduction Program, what is the maximum payment reduction applicable to an eligible hospital?
- A. 3%
- B. 5%
- C. 2%
- D. 1%
Correct Answer: A 🗳️
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A patient with known heart failure presents with severe dyspnea, orthopnea, bilateral crackles, pulmonary edema, and lower-extremity edema. Echocardiography shows an ejection fraction of 28%. IV loop diuretics are administered. Which clarification is MOST clinically supported?
- A. Stable heart failure
- B. Acute systolic heart failure
- C. Cor pulmonale only
- D. Chronic diastolic heart failure
Correct Answer: B 🗳️
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A CDI manager notes that the physician query response rate is 98%, but only 55% of queries are answered before discharge. Which metric should receive the MOST immediate workflow analysis?
- A. Number of MCCs coded
- B. Case mix index
- C. Pre-discharge response timeliness
- D. Overall response rate
Correct Answer: C 🗳️
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