CCDS問題集、ACDIS実際の試験問題

質問 1

The attending physician documents acute respiratory failure. The patient has normal respiratory effort, oxygen saturation of 97% on room air, no supplemental oxygen requirement, and no ventilatory support. What is the MOST appropriate CDI action?

A. Ignore the discrepancy because provider documentation can never be questioned

B. Initiate a clinical validation query

C. Change the diagnosis to hypoxemia

D. Delete the diagnosis from the medical record

正解: B

解説: (PassTest メンバーにのみ表示されます)

質問 2

A physician is completing rounds when a CDI specialist identifies conflicting documentation that can be clarified immediately. Which approach is MOST appropriate?

A. Tell the physician which diagnosis produces the correct MS-DRG

B. Wait until final billing because concurrent clarification is inappropriate

C. Discuss the issue professionally with the physician and ensure the clarification process meets organizational query documentation requirements

D. Avoid verbal discussion because all queries must be electronic

正解: C

解説: (PassTest メンバーにのみ表示されます)

質問 3

A patient has hypertension and acute on chronic diastolic heart failure documented during the same admission. The physician does not explicitly link the conditions and does not state that they are unrelated.
Which statement is MOST accurate?

A. Only systolic heart failure can be presumed related to hypertension

B. Hypertension should not be coded when heart failure is present

C. ICD-10-CM generally presumes a relationship between hypertension and qualifying heart disease unless documented as unrelated

D. A query is always required before hypertensive heart disease can be coded

正解: C

解説: (PassTest メンバーにのみ表示されます)

質問 4

Which of the following is included among the FY 2026 Hospital-Acquired Condition Reduction Program measures?

A. Query response rate

B. CMS PSI 90

C. Case mix index

D. Patient satisfaction survey completion rate

正解: B

解説: (PassTest メンバーにのみ表示されます)

質問 5

A CDI program is developing a query escalation policy. A clinically significant query remains unanswered despite normal reminders. Which action is MOST appropriate?

A. Automatically select the diagnosis most strongly supported by CDI

B. Remove the query so it cannot delay billing

C. Follow the organization's defined escalation pathway

D. Ask coding to choose the diagnosis instead of the provider

正解: C

解説: (PassTest メンバーにのみ表示されます)

質問 6

The amount of the IPPS Indirect Medical Education Adjustment is determined by teaching intensity as measured by the hospital's number of residents compared to:

A. ED and inpatient beds

B. Inpatient beds

C. Number of admissions

D. Disproportionate payment rates

正解: B

解説: (PassTest メンバーにのみ表示されます)

質問 7

Which of the following programs specifically reduces applicable Medicare payments by 1% for hospitals in the worst-performing quartile based on hospital-acquired-condition measures?

A. Hospital-Acquired Condition Reduction Program

B. Medicare Shared Savings Program

C. Inpatient Psychiatric Facility Quality Reporting Program

D. Hospital Value-Based Purchasing Program

正解: A

解説: (PassTest メンバーにのみ表示されます)

質問 8

Under the IPPS Post-Acute Care Transfer policy, which documentation element is particularly important because it can affect whether transfer-payment methodology applies?

A. Number of daily progress notes

B. Physician's years in practice

C. Discharge disposition

D. Patient's dietary preference

正解: C

解説: (PassTest メンバーにのみ表示されます)

質問 9

The attending physician documents "severe protein-calorie malnutrition." The dietitian's assessment documents normal nutritional intake, stable body weight, no fat loss, and no muscle wasting. What should the CDI specialist do?

A. Accept the diagnosis because it was documented by the physician

B. Submit a clinical validation query

C. Ask the dietitian to change the assessment

D. Delete the diagnosis

正解: B

解説: (PassTest メンバーにのみ表示されます)

質問 10

A CDI specialist sends a compliant query. The physician answers "other-viral syndrome" and supports the diagnosis in the progress note. The queried diagnosis would have been an MCC. What should the CDI specialist do?

A. Accept the clinically supported provider response

B. Reject the answer because it does not produce an MCC

C. Ask coding to assign the MCC anyway

D. Reissue the same query until the provider selects the MCC

正解: A

解説: (PassTest メンバーにのみ表示されます)

質問 11

A patient with a history of heart failure is admitted with severe dyspnea and bilateral lower-extremity edema.
BNP is 1,000 pg/mL and echocardiography shows an ejection fraction of 25% with left ventricular systolic dysfunction. Which diagnosis should the CDI specialist consider when constructing a clinically supported clarification query?

A. Chronic systolic heart failure

B. Acute on chronic diastolic heart failure

C. Acute on chronic systolic heart failure

D. Combined systolic and diastolic heart failure

正解: C

解説: (PassTest メンバーにのみ表示されます)

ACDIS Certified Clinical Documentation Specialist - CCDS 模擬練習