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ACDIS CCDS Exam Overview:
| Certification Vendor: | ACDIS (Association of Clinical Documentation Integrity Specialists) |
|---|---|
| Exam Name: | Certified Clinical Documentation Specialist Examination |
| Exam Number: | CCDS |
| Related Certifications: | CCDS-O (Certified Clinical Documentation Specialist – Outpatient) |
| Exam Duration: | 180 minutes |
| Real Exam Qty: | 140 (120 scored + 20 pretest/unscored) |
| Exam Format: | Computer-based, Multiple-choice, Remote proctored or Onsite |
| Certificate Validity Period: | 2 years |
| Passing Score: | 88 out of 120 scored questions |
| Exam Price: | $280 USD (ACDIS Member) / $380 USD (Non-Member) |
| Available Languages: | English |
| Recommended Training: | ACDIS Education & Training Resources CCDS Exam Study Guide & Practice Exam Official CCDS Candidate Handbook |
| Exam Registration: | ACDIS CCDS Application Portal Prometric Scheduling |
| Sample Questions: | ![]() |
| Exam Way: | Computer-based testing at Prometric/PSI/AMP assessment centers OR remotely proctored via ProProctor; delivered Monday–Saturday by appointment. |
| Pre Condition: | Candidates must meet ONE of the following while currently employed as a CDI specialist: (1) RN, RHIA, RHIT, MD, or DO + 2 years full-time inpatient CDI experience; (2) Associate degree in allied health + 3 years experience + medical terminology & anatomy/physiology coursework; (3) CCS/CCS-P credential or equivalent coursework + 3 years inpatient CDI experience. Experience = ≥2,000 hours/year. |
| Official Syllabus URL: | https://acdis.org/certification/ccds |
ACDIS CCDS Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: CDI Program Management & Professional Practice | 15% | - Ethics, HIPAA, and professional conduct - Program metrics, benchmarks, and performance measurement - Provider education and training strategies |
| Topic 2: Clinical Documentation Review & Query Practices | 20% | - Concurrent and retrospective chart review methodologies - Documentation gap identification and resolution - Query development, communication, and ethical standards |
| Topic 3: Healthcare Regulations, Reimbursement & Documentation Requirements – IPPS | 15% | - Medicare Severity Diagnostic Related Groups (MS-DRGs) - Documentation responsibilities of medical and clinical staff - Inpatient Prospective Payment System (IPPS) fundamentals |
| Topic 4: Coding Guidelines & Official Reporting Standards | 15% | - Coding integrity and compliant documentation practices - ICD-10-CM/PCS Official Guidelines for Coding and Reporting - AHIMA/ACDIS Guidelines for Compliant Query Practice |
| Topic 5: Clinical Knowledge & Disease Processes Application | 20% | - Disease processes across body systems applied to chart review - Clinical indicators, lab results, medications, diagnostic findings - Medical terminology, anatomy, physiology, pathophysiology |
| Topic 6: Quality, Risk Adjustment & Health Initiatives | 15% | - Risk adjustment models and documentation impact - Severity of Illness (SOI) / Risk of Mortality (ROM) - Quality reporting, public reporting, and compliance programs |
CCDS Exam FAQ: Updates, Speed, Simulation
Three versions of the same study materials: a printable, expert-prepared PDF with free demo download and instant access; a Desktop Test Engine for Windows with customizable simulation and timed modes that works offline; and an Online Test Engine for any browser on Windows, Mac, Android, and iOS with test history and performance review. All 152 practice questions are identical across versions. Every purchase includes 365 days of free updates, a 50% renewal discount afterward, and unlimited computer installations.
The ACDIS Certified Clinical Documentation Specialist exam contains 140 (120 scored + 20 pretest/unscored) to complete within 180 minutes. Timed simulation in the Pass4suresVCE Desktop Test Engine teaches that rhythm before exam day does.
The official ACDIS Certified Clinical Documentation Specialist outline defines 6 domains. The leading three are CDI Program Management & Professional Practice (15%), Quality, Risk Adjustment & Health Initiatives (15%), and Coding Guidelines & Official Reporting Standards (15%). The full list is in the topics section above, and Pass4suresVCE's 152 practice questions cover each one.
Candidates must meet ONE of the following while currently employed as a CDI specialist: (1) RN, RHIA, RHIT, MD, or DO + 2 years full-time inpatient CDI experience; (2) Associate degree in allied health + 3 years experience + medical terminology & anatomy/physiology coursework; (3) CCS/CCS-P credential or equivalent coursework + 3 years inpatient CDI experience. Experience = ≥2,000 hours/year. Since requirements change over time, confirm the latest on the official ACDIS exam page before scheduling.
The ACDIS Certified Clinical Documentation Specialist exam requires 88 out of 120 scored questions to pass, and registration costs $280 USD (ACDIS Member) / $380 USD (Non-Member). A failed attempt means paying the same fee again — a readiness check with the Pass4suresVCE engines before booking is the cheaper option.
The CCDS exam is a ACDIS certification exam validating the ACDIS Certified Clinical Documentation Specialist syllabus shown above. It belongs to these credential paths: CCDS-O (Certified Clinical Documentation Specialist – Outpatient). Candidates in 2026 start with Pass4suresVCE's 152 practice questions, available as a printable PDF, a Windows Desktop Test Engine, and an Online Test Engine — three versions of the same materials.
ACDIS recommends these training resources for the ACDIS Certified Clinical Documentation Specialist exam:
- CCDS Exam Study Guide & Practice Exam
- Official CCDS Candidate Handbook
- ACDIS Education & Training Resources
Follow the training with steady self-testing — the 152 practice questions from Pass4suresVCE help you apply theory and fill any gaps the training leaves.
Pass4suresVCE issues a full refund if you take the ACDIS Certified Clinical Documentation Specialist exam within 60 days of purchase and do not pass. The policy does not apply if the exam is taken within 3 days of purchase, if the exam was never actually taken, or to free materials or expired orders, and the candidate name must match the payer name. Submit a scan of your enrollment slip and the official Score Report PDF within 2 days of the exam; claims are processed within 7 days. Alternatively, exchange for two free exam products of equal value and keep your original update service. Orders arrive by email within 1 minute — contact support if nothing arrives within 2 hours.
Computer-based testing at Prometric/PSI/AMP assessment centers OR remotely proctored via ProProctor; delivered Monday–Saturday by appointment. Register for the ACDIS Certified Clinical Documentation Specialist exam through these official channels:
After booking, Pass4suresVCE delivers your practice questions within 1 minute — preparation starts the same day.
ACDIS Certified Clinical Documentation Specialist Sample Questions:
A patient with cirrhosis presents with confusion and asterixis. Ammonia is elevated and the patient improves after lactulose administration. The physician documents "altered mental status due to liver disease." Which clarification would provide the MOST clinically specific documentation?
- A. Hepatic encephalopathy
- B. Metabolic acidosis
- C. Alcohol withdrawal
- D. Dementia
Correct Answer: A 🗳️
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Which of the following diagnoses is classified as a major complication/comorbidity (MCC) under the FY
2026 MS-DRG system?
- A. Uncomplicated COPD
- B. Bacteremia
- C. Severe protein-calorie malnutrition
- D. Chronic systolic heart failure
Correct Answer: C 🗳️
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The attending physician documents "acute systolic heart failure," while a consultant documents "chronic diastolic heart failure" for the same episode of care. Which provider should ultimately clarify the conflicting diagnostic documentation for coding purposes?
- A. Physician assistant
- B. Consulting physician
- C. Attending physician
- D. Emergency physician
Correct Answer: C 🗳️
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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. Reject the answer because it does not produce an MCC
- B. Accept the clinically supported provider response
- C. Reissue the same query until the provider selects the MCC
- D. Ask coding to assign the MCC anyway
Correct Answer: B 🗳️
Explanation: Only visible for Pass4suresVCE 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?
- A. Alcohol-induced dementia
- B. Wernicke dementia
- C. Alzheimer's dementia
- D. Vascular dementia
Correct Answer: D 🗳️
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