Last Updated: Oct 15, 2026
No. of Questions: 152 Questions & Answers with Testing Engine
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| Certification Vendor: | ACDIS (Association of Clinical Documentation Integrity Specialists) |
|---|---|
| Exam Name: | Certified Clinical Documentation Specialist Examination |
| Exam Number: | CCDS |
| Real Exam Qty: | 140 (120 scored + 20 pretest) |
| Exam Duration: | 180 minutes |
| Related Certifications: | Certified Clinical Documentation Specialist-Outpatient (CCDS-O) |
| Exam Price: | USD 280 for ACDIS members; USD 380 for non-members; additional USD 100 for international candidates |
| Certificate Validity Period: | 2 years |
| Exam Format: | Multiple-choice, Application, Recall, Analysis, Four answer choices (A-D) |
| Available Languages: | English |
| Passing Score: | 88 correct out of 120 scored questions |
| Recommended Training: | ACDIS Certification and CCDS Resources ACDIS CCDS Exam Study Guide |
| Exam Registration: | Prometric Exam Scheduling ACDIS CCDS Exam Application |
| Sample Questions: | DOWNLOAD DEMO |
| Exam Way: | Computer-based examination at Prometric Test Centers or remotely proctored online. |
| Pre Condition: | Candidates must currently work as a concurrent or retrospective CDI specialist in an inpatient acute care facility using the U.S. IPPS and meet one of ACDIS's education/experience pathways: RN, RHIA, RHIT, MD, or DO plus 2 years of experience; an associate degree in an allied health field plus 3 years of experience; or qualifying college-level coursework/AHIMA CCS or CCS-P plus 3 years of experience. |
| Official Syllabus URL: | https://www.acdis.org/certification/ccds/about |
| Section | Weight | Objectives |
|---|---|---|
| Medical record documentation | 19.17% | - Documentation requirements and diagnosis or procedure code assignment - Documentation clarification and compliant physician queries |
| Official Guidelines for Coding and Reporting | 14.17% | - Principal and secondary diagnosis assignment - Coding guidelines, AHA Coding Clinic, HACs, and POA indicators |
| Healthcare facility CDI program analysis | 8.33% | - Data analysis, forecasting, and performance measurement - CDI productivity, provider response, CMI, and program metrics |
| Healthcare regulations, reimbursement, and documentation requirements related to the IPPS | 12.5% | - CC/MCC, CMI, Medicare contractors, and compliance - IPPS, MS-DRGs, reimbursement, and medical necessity |
| Communication skills | 9.17% | - Physician education and effective communication - CDI and coding roles and interdisciplinary collaboration |
| Impact of reportable diagnoses on quality of care | 8.33% | - Mortality, severity of illness, and risk of mortality - Quality metrics, reporting programs, and financial impact |
| Professionalism, ethics, and compliance | 9.17% | - Confidentiality, DRG compliance, and ethical CDI practices - Query compliance, DRG creep, and audit risks |
| Anatomy and physiology, pathophysiology, pharmacology, and medical terminology | 19.17% | - Anatomy, physiology, pathophysiology, pharmacology, and terminology - Clinical conditions and clinical indicators |
ACDIS specifies the following prerequisites for the ACDIS Certified Clinical Documentation Specialist: Candidates must currently work as a concurrent or retrospective CDI specialist in an inpatient acute care facility using the U.S. IPPS and meet one of ACDIS's education/experience pathways: RN, RHIA, RHIT, MD, or DO plus 2 years of experience; an associate degree in an allied health field plus 3 years of experience; or qualifying college-level coursework/AHIMA CCS or CCS-P plus 3 years of experience..
Confirm the authoritative details on the official certification page before you register.
As of the latest information, the passing score for the CCDS exam is 88 correct out of 120 scored questions and the fee is USD 280 for ACDIS members; USD 380 for non-members; additional USD 100 for international candidates. ACDIS sets both, so verify the current figures on the official site before scheduling.
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The ACDIS Certified Clinical Documentation Specialist blueprint centers on these principal domains:
Further domains complete the official outline, and our question bank spans every one.
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According to the latest exam information, the CCDS exam includes 140 (120 scored + 20 pretest) questions and lasts 180 minutes minutes. Practicing under the same limit builds the pacing confidence you will want on the day.
Registration goes through the official channels below:
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A CDI program plans to develop a policy for addressing diagnoses that require clinical validation. According to the Guidelines for Achieving a Compliant Query Practice, which of the following should be addressed in the policy?
Correct Answer: D 🗳️
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A neurologist documents acute cerebral infarction. A qualified stroke nurse records the NIH Stroke Scale score in the medical record. Which statement is MOST accurate?
Correct Answer: C 🗳️
Explanation: Only visible for SureTorrent members. You can sign-up / login (it's free).
Which of the following principal diagnoses groups to MS-DRG 884, Organic Disturbances and Intellectual Disability?
Correct Answer: A 🗳️
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A patient's baseline serum creatinine is 0.9 mg/dL. Forty-eight hours after admission, the creatinine is 1.5 mg
/dL. Urine output has also decreased. Which condition is most appropriate for the CDI specialist to consider as a clarification opportunity?
Correct Answer: C 🗳️
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A hospital had 1,000 inpatient discharges during a reporting period. The sum of the MS-DRG relative weights for those discharges was 1,750. What is the hospital's case mix index (CMI)?
Correct Answer: B 🗳️
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