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CCDS ACDIS
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2 CANDIDATE HANDBOOK Certified Clinical Documentation Specialist. About the Association of Clinical Documentation, Improvement Specialists. The Association of Clinical Documentation Improvement Specialists ACDIS is a diverse. community of professionals whose backgrounds include nursing HIM coding case manage. ment quality and more Members of ACDIS share the latest tested tips tools and strategies. to implement successful CDI programs and achieve professional growth ACDIS mission is. to bring CDI specialists together, ACDIS offers its members a bi monthly journal quarterly conference calls news updates a. forms and tools library a talk group a job board and discounts on selected products Mem. bers can network with their colleagues and peers through member publications working. groups local chapter meetings and the option of attending the ACDIS annual conference. 35 Village Road Suite 200, Middleton MA 01949, Tel 877 240 6586. Fax 978 560 0934, E mail customerservice hcpro com. Web site www acdis org, January 2018, 2018 by HCPro a division of the H3 Group Any reproduction is strictly prohibited.
Certified Clinical Documentation Specialist CANDIDATE HANDBOOK 3. Table of Contents, Note to candidates 4, Mission statement 4. Statement of non discrimination 4, Certified Clinical Documentation Specialist overview 5. Certification eligibility requirements 5, Allowable Resources 7. About the certification examination 7, Examination fee 8. Management and examination services 8, Assessment Center locations 8.
Applying for the examination 9, Eligibility period 9. Scheduling an examination appointment 10, Special arrangements for candidates with disabilities 10. Examination appointment changes 11, Missed appointments 11. Inclement weather power failure other emergency 11. Cancellations 12, Examination content 12, Examination content outline 13. CCDS sample exam questions 20, On the day of your examination 22.
Security 23, Personal belongings 24, Examination restrictions 24. Misconduct 25, Practice examination 25, Timed examination 25. Following the examination 26, If you pass the examination 27. If you do not pass the examination 27, Appeals 27, Scores cancelled by ACDIS or PSI AMP 28. Copyrighted examination questions 28, Confidentiality 29.
Duplicate score report 29, Recertification 29, Certification maintenance fees 30. Failure to renew 30, Disciplinary policy 30, Contact us 31. 2018 by HCPro a division of the H3 Group Any reproduction is strictly prohibited. 4 CANDIDATE HANDBOOK Certified Clinical Documentation Specialist. Note to candidates, It is your responsibility to read and understand the contents of this handbook before. applying for certification, This handbook contains current information about the criteria and process for applying to. be a Certified Clinical Documentation Specialist CCDS Please refer to the contents of. this handbook for any questions you may have regarding the certification program. Additional information is available at the ACDIS Web site at www acdis org If you cannot. find the information you require or have further questions you may also contact. Penny Richards, ACDIS Member Services Specialist, prichards hcpro com.
or call ACDIS Customer Service at 877 240 6586, Mission statement. The mission of the CCDS credential is to elevate the professional standing of clinical docu. mentation specialists The program draws from experienced clinical documentation special. ists in the field to establish criteria for competency in the broad and multidisciplinary bodies. of knowledge clinical documentation specialists must possess These include knowledge of. healthcareandcodingregulations anatomy physiology pharmacology andpathophysiology. proficiency in medical record review communication and physician query techniques and. data mining and reporting functions, Statement of nondiscrimination. The opportunity to become a CCDS is available to all eligible candidates who meet the exam. prequalifications as identified in the handbook ACDIS does not discriminate on the basis of. age gender race religion national origin marital status sexual preference or disability. If special accommodations are required for the examination notify the program at. 800 650 6787, 2018 by HCPro a division of the H3 Group Any reproduction is strictly prohibited. Certified Clinical Documentation Specialist CANDIDATE HANDBOOK 5. Certified Clinical Documentation Specialist overview. The purpose of becoming a CCDS is to recognize that those who perform the role of a. clinical documentation specialist and who possess a diverse set of concurrent medical record. review skills clinical knowledge and knowledge of coding and reimbursement regulations. under the Inpatient Prospective Payment System IPPS. Because the CCDS credential was developed to recognize individuals with a proven ability. to work as a clinical documentation specialist candidates for the CCDS designation are. required to have at least two years of experience in the profession Additionally candidates. must have some college level education see Certification eligibility requirements below. Successful candidates must achieve a passing score on the certification examination which. tests the candidate s ability to abide by documentation and coding regulations and apply his. or her experience and knowledge to typical scenarios that clinical documentation specialists. encounter in their profession, The certification program is not designed to determine who shall serve as a clinical. documentation specialist That is the responsibility of the leadership team for each hospital. Instead the goal is to establish a baseline of competency in professionals who serve as. clinical documentation specialists be they from nursing HIM coding case management. quality or other healthcare related backgrounds, The CCDS program is a service provided in conjunction with ACDIS specifically to help.
those professionals with baseline levels of education and experience as a clinical documenta. tion specialist achieve a mark of distinction and professionalism The required experience and. education ensures that only clinical documentation specialists with proven ability to perform. their functions can achieve this certification, Certification eligibility requirements. The candidate for the Certified Clinical Documentation Specialist CCDS exam will meet. one of the following three education and experience standards and currently be employed. as either a concurrent or retrospective Clinical Documentation Improvement Specialist. An RN RHIA RHIT MD or DO and two 2 years of experience as a concurrent or. retrospective documentation specialist in an inpatient acute care facility using the United. States IPPS system, 2018 by HCPro a division of the H3 Group Any reproduction is strictly prohibited. 6 CANDIDATE HANDBOOK Certified Clinical Documentation Specialist. An Associate s degree or equivalent in an allied health field other than what is listed. above and three 3 years of experience as a concurrent or retrospective documenta. tion specialist in an inpatient acute care facility using the United States IPPS system The. education component must include completed college level course work in medical ter. minology and human anatomy and physiology, Formal education accredited college level course work in medical terminology human. anatomy and physiology medical terminology and disease process or the AHIMA CCS. or CCS P credential and a minimum of three 3 years of experience in the role as a. concurrent or retrospective documentation specialist in an inpatient acute care facility. using the United States IPPS system, A year of experience is defined as full time employment or greater than 2 000 hours. worked during that year, Experience documenting in a medical record as a clinician resident or equivalent foreign.
medical graduate does not meet the experience requirement. What is a documentation specialist, The concurrent documentation specialist conducts daily reviews of medical records for. patients who are currently hospitalized, The retrospective documentation specialist reviews medical records daily of post dis. charge pre bill records, Both concurrent and retrospective documentation specialists also. Works collaboratively using real time conversation with physicians and medical team. members caring for the patient, Uses his or her clinical knowledge to evaluate how the medical record will translate into. coded data including reviewing provider and other clinical documentation lab results. diagnostic information and treatment plans, Communicates with providers whether in verbal discussion or by query for missing.
unclear or conflicting documentation, Educates providers about optimal documentation identification of disease processes to. ensure proper reflection of severity of illness complexity and acuity and facilitate accu. rate coding, 2018 by HCPro a division of the H3 Group Any reproduction is strictly prohibited. Certified Clinical Documentation Specialist CANDIDATE HANDBOOK 7. Allowable resources, Examination takers for the CCDS will be allowed to bring the following two books with. them into the examination, DRG Expert published by OPTUM the 2018 edition is published in two volumes. One of the following standard drug reference guides. Nursing Drug Handbook Lippincott s, Mosby s Nursing Drug Reference.
Physicians Desk Reference or PDR Nurse s Drug Handbook. Pearson s Nurse s Drug Guide, Saunders Nursing Drug Handbook. Davis s Drug Guide, Books will be checked for additional pages or loose notes inserted or attached inside These are. not allowed to be brought into the testing room Handwritten notes previously written in the. margins of books are permitted but candidates may not write in their books during the exam. About the certification examination, To become a CCDS a candidate must pass the examination The CCDS examination is. also offered by computer at approximately 300 PSI APM Assessment Centers located. throughout the United States Applications from those who meet eligibility requirements are. accepted on a rolling basis there are no deadlines for exam applications and the associated. The examination is administered by appointment only Monday through Saturday. Candidates are scheduled on a first come first serve basis The examination is not offered. on the following holidays, New Year s Day, Martin Luther King Day. Memorial Day, Independence Day July 4, Thanksgiving and the following Friday.
Christmas Eve Day, Christmas Day, 2018 by HCPro a division of the H3 Group Any reproduction is strictly prohibited. 8 CANDIDATE HANDBOOK Certified Clinical Documentation Specialist. Examination fee, The fee for the certification application process and examination is 255 for ACDIS mem. bers and 355 for non members Payment may be made by credit card personal check or. money order for the total amount payable to HCPro All fees are non refundable. If you do not pass the exam you may submit a new application to schedule a re exam see. Applying for the examination on p 11 of the handbook ACDIS will discount the exam. fee to 125 for one retake only Subsequent attempts to pass the exam will be at full price. 355 or 255 for ACDIS members There is a mandatory ninety 90 day waiting period. between exam attempts, Management and examination services. ACDIS contracts with PSI AMP a PSI Business PSI APM to provide management and. examination services PSI APM provides administrative support for the certification process. includingexaminationdevelopment validation andadministration PSI APMcarefullyadheres. toindustrystandardsfordevelopmentofpractice related criterion referencedexaminations. to assess competency PSI APM offers a full range of services including practice analyses and. developmentofexaminationspecifications psychometricguidancetocommitteesofcontent. experts during examination question writing development of content valid examination in. struments publishing examinationadministration scoring andreportingexaminationresults. 18000 West 105th Street, Olathe KS 66061 7543, Tel 913 895 4600 Fax 913 895 4650. E mail info goAMP com Web site www goAMP com, ACDISmaintainsrecords handlesfinances andprocessesexaminationapplications certification.
materials and requests for continuing education approvals. Assessment Center locations, A current list of Assessment Centers can be viewed at www goAMP com Specific address. information will be provided when a candidate schedules an examination appointment. 2018 by HCPro a division of the H3 Group Any reproduction is strictly prohibited. Certified Clinical Documentation Specialist CANDIDATE HANDBOOK 9. Applying for the examination, All candidates may review the application process on the ACDIS Web site at. www acdis org, Download and complete the application editable PDF document which is available online. at www acdis org in the Certification How to Apply section Save the application to your. desktop complete it save it as directed and submit via fox or scan email If you complete by. hand use black ink write legibly and complete all fields. Submit the application by mail fax or e mail with your payment instructions. HCPro a division of the H3 Group, CCDS Certification Program. 35 Village Road Suite 200, Middleton MA 01949, Fax .
To become a CCDS a candidate must pass the examination The CCDS examination is also offered by computer at approximately 300 PSI APM Assessment Centers located throughout the United States Applications from those who meet eligibility requirements are accepted on a rolling basis there are no deadlines for exam applications and the associated

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