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Free ACDIS CCDS Exam Prep

ACDIS Certified Clinical Documentation Specialist (CCDS)

Prepare for the ACDIS CCDS exam without spending hundreds on expensive prep courses. Free study guides, practice questions, flashcards, and related exam resources.

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Your Study Path

ACDIS ACDIS Clinical Documentation Integrity License: Complete Roadmap

Follow this path to organize your licensing and exam preparation

1

Phase 1: Inpatient Prospective Payment & Regulatory FundamentalsYou are here

Master MS-DRG logic, relative weights, CC/MCC capture rules, Present on Admission (POA) indicators, HAC payment provisions, and the Two-Midnight admission policy.

20
hours
2

Phase 2: Inpatient Clinical Pathophysiology & Diagnostic Criteria

Deep dive into diagnostic thresholds and clinical indicators for sepsis (Sepsis-2 vs Sepsis-3), acute respiratory failure, acute kidney injury, encephalopathy, malnutrition, and heart failure.

30
hours
3

Phase 3: Compliant Query Practice & Medical Record Integrity

Study ACDIS/AHIMA query standards, multiple-choice query construction, avoiding leading questions, provider escalation pathways, and UHDDS documentation guidelines.

25
hours
4

Phase 4: Official Coding Guidelines, Quality Metrics & Practice Exams

Review ICD-10-CM/PCS conventions, AHRQ Patient Safety Indicators (PSIs), APR-DRG SOI/ROM subclasses, and complete full-length timed practice exams.

25
hours
Estimated total study time
100 hours
That's about 10 weeks at 10 hours/week

Can You Take the ACDIS CCDS Exam?

Check if you meet the basic eligibility requirements

Age
Education
Pathway 1: RN, RHIA, RHIT, MD, or DO. Pathway 2: associate degree (or equivalent) in allied health plus college-level medical terminology and anatomy and physiology. Pathway 3: college-level anatomy and physiology, medical terminology, and disease process, or an AHIMA CCS or CCS-P credential.
Experience
Currently employed as a concurrent or retrospective documentation specialist in an inpatient acute-care facility using U.S. IPPS, plus 2 years (Pathway 1) or 3 years (Pathways 2 and 3). A year is full-time employment or more than 2,000 hours that year. Charting as a clinician, resident, or equivalent foreign medical graduate does not count.
Additional Requirements
  • Meet one of the three published ACDIS CCDS education-and-experience pathways before applying
  • Applications may be audited to verify work history, education, credentials, and licensure
  • Submit the ACDIS examination application with the examination fee
  • Sit at a Prometric testing center or via Prometric remote proctoring within the 90-day eligibility window
  • Recertify every 2 years with 30 continuing education units (CEUs)

ACDIS CCDS Quick Facts

Exam Provider

Prometric

Remote Testing Available
Schedule Your Exam

Retake Policy

Candidates who do not pass must wait 90 days before retaking. The first retake fee is $150; subsequent attempts are charged at the full examination fee.

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What You'll Study

21 chapters covering the exam topics in this guide

ACDIS CCDS Exam Details

ACDIS Certified Clinical Documentation Specialist (CCDS)

Administered by Association of Clinical Documentation Integrity Specialists (ACDIS)

Official Source
Pass/fail determined by raw score on the 120 scored items; ACDIS publishes no numeric cut score (CCDS candidate handbook)
Passing Score
140
Questions
3
Hours
USD 280 ACDIS members / USD 380 non-members; first retake USD 150, later attempts full price, 90-day wait
Exam Fee
Study time: ACDIS publishes no required or typical study-time estimate; prepare based on demonstrated gaps across all eight handbook domains
Prerequisites: Current concurrent or retrospective inpatient CDI employment plus one of three ACDIS education-and-experience pathways (2 or 3 years; a year is full-time or more than 2,000 hours)
Valid for: 2 years (30 CEUs; recertification fee USD 125 ACDIS members / USD 225 non-members)

Exam Content Breakdown

Based on the official Association of Clinical Documentation Integrity Specialists (ACDIS) content outline

Domain I: Inpatient Prospective Payment System and Regulations12.5% (15 of 120 scored items)

IPPS updates, MS-DRGs, documentation and reimbursement, setting-specific medical necessity, the Two-Midnight rule, principal diagnosis relationships, CC/MCC capture, case-mix index, contractors, and denial risk

Domain II: Anatomy, Physiology, Pathophysiology and Pharmacology19.2% (23 of 120 scored items)

Clinical indicators for sepsis, respiratory failure, AKI, malnutrition, encephalopathy, heart failure and the drugs that support them

Domain III: Medical Record Documentation19.2% (23 of 120 scored items)

Medical-record elements and provider roles, clarification triggers, query types and formats, clinical indicators, compliant practice, and unsupported diagnoses

Domain IV: CDI Program Analysis8.3% (10 of 120 scored items)

CDI program, physician, and specialist metrics; trends and forecasting; spreadsheets and financial data; public reporting; and PEPPER

Domain V: Communication9.2% (11 of 120 scored items)

Education tools and presentations, nonconfrontational communication, CDI and coder roles, DRG reconciliation, and verbal versus written communication

Domain VI: Official Coding Guidelines14.2% (17 of 120 scored items)

ICD-10-CM/PCS Official Guidelines, coding conventions and sequencing rules

Domain VII: Professionalism, Ethics and Compliance9.2% (11 of 120 scored items)

ACDIS Code of Ethics, compliant query practice, audit and denial defence

Domain VIII: Quality Impact8.3% (10 of 120 scored items)

PSI/HAC quality measures, risk adjustment, SOI/ROM, mortality and readmission indices

What's Included

21 Chapters

Complete exam coverage

Practice Quizzes

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What's Next After the ACDIS CCDS?

After passing the ACDIS CCDS, you can pursue these career paths

ACDIS CCDS Exam FAQ

Official Association of Clinical Documentation Integrity Specialists (ACDIS) Resources

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