INDIANA CLINICAL
DOCUMENTATION SPECIALIST
Exam Practice Questions
2026-2027 Edition
Verified Answers Plus Rationales
Q&A; | Instant Download PDF
EXAM SPECIFICATIONS
Time Allocation: 3 Hours
Total Questions: 120 Questions on National Exam
Question Format: Multiple Choice with Rationales
Minimum Competency: 70% Required to Pass
Core Focus: CDI, DRG, Coding, Query Process, Compliance
Indiana Clinical Documentation Specialist Exam Prep 2026-2027 Page 1
, Exam Overview & Content Outline
EXAM PURPOSE
Indiana Clinical Documentation Specialist (CDS/CDIP) certification covers clinical documentation
improvement, DRG assignment, ICD-10-CM/PCS coding, query process, and compliance. Based on
AHIMA, ACDIS, and CMS requirements for inpatient documentation integrity and reimbursement
accuracy.
CONTENT DISTRIBUTION
• Clinical Documentation & Disease Processes (30%) — Pathophysiology, pharmacology, lab
values, procedures, SOI/ROM
• Coding Guidelines & DRG Assignment (25%) — ICD-10-CM/PCS, MS-DRG, POA, HAC,
CC/MCC, coding conventions
• Query Process & Communication (20%) — Compliant queries, query types, physician
engagement, documentation requirements
• Quality Metrics & Reimbursement (15%) — Case mix index, SOI/ROM, PSI, mortality,
readmissions, value-based purchasing
• Compliance & Ethics (10%) — HIPAA, False Claims Act, OIG, AHIMA Code of Ethics, audit
processes
QUESTION FORMAT & SCORING
Each item presents four options. Correct answers are highlighted in green with checkmark (✓).
Every question includes detailed rationale with CDI standards. Indiana/ACDIS requires 70% to pass
CDS exam.
STUDY STRATEGY
Master ICD-10-CM/PCS coding guidelines and conventions. Know MS-DRG assignment and
CC/MCC impact. Understand compliant query process and AHIMA guidelines. Review clinical
indicators for common diagnoses. Study quality metrics and reimbursement models.
CURRICULUM ALIGNMENT
Questions reflect 2026-2027 standards: AHIMA CDIP, ACDIS CCDS, ICD-10-CM/PCS Official
Guidelines, CMS MS-DRG, AHA Coding Clinic, AHIMA Query Practice Brief, and OIG compliance
guidance.
Indiana Clinical Documentation Specialist Exam Prep 2026-2027 Page 2
, Indiana Clinical Documentation Specialist Exam Prep 2026-2027 Page 3
DOCUMENTATION SPECIALIST
Exam Practice Questions
2026-2027 Edition
Verified Answers Plus Rationales
Q&A; | Instant Download PDF
EXAM SPECIFICATIONS
Time Allocation: 3 Hours
Total Questions: 120 Questions on National Exam
Question Format: Multiple Choice with Rationales
Minimum Competency: 70% Required to Pass
Core Focus: CDI, DRG, Coding, Query Process, Compliance
Indiana Clinical Documentation Specialist Exam Prep 2026-2027 Page 1
, Exam Overview & Content Outline
EXAM PURPOSE
Indiana Clinical Documentation Specialist (CDS/CDIP) certification covers clinical documentation
improvement, DRG assignment, ICD-10-CM/PCS coding, query process, and compliance. Based on
AHIMA, ACDIS, and CMS requirements for inpatient documentation integrity and reimbursement
accuracy.
CONTENT DISTRIBUTION
• Clinical Documentation & Disease Processes (30%) — Pathophysiology, pharmacology, lab
values, procedures, SOI/ROM
• Coding Guidelines & DRG Assignment (25%) — ICD-10-CM/PCS, MS-DRG, POA, HAC,
CC/MCC, coding conventions
• Query Process & Communication (20%) — Compliant queries, query types, physician
engagement, documentation requirements
• Quality Metrics & Reimbursement (15%) — Case mix index, SOI/ROM, PSI, mortality,
readmissions, value-based purchasing
• Compliance & Ethics (10%) — HIPAA, False Claims Act, OIG, AHIMA Code of Ethics, audit
processes
QUESTION FORMAT & SCORING
Each item presents four options. Correct answers are highlighted in green with checkmark (✓).
Every question includes detailed rationale with CDI standards. Indiana/ACDIS requires 70% to pass
CDS exam.
STUDY STRATEGY
Master ICD-10-CM/PCS coding guidelines and conventions. Know MS-DRG assignment and
CC/MCC impact. Understand compliant query process and AHIMA guidelines. Review clinical
indicators for common diagnoses. Study quality metrics and reimbursement models.
CURRICULUM ALIGNMENT
Questions reflect 2026-2027 standards: AHIMA CDIP, ACDIS CCDS, ICD-10-CM/PCS Official
Guidelines, CMS MS-DRG, AHA Coding Clinic, AHIMA Query Practice Brief, and OIG compliance
guidance.
Indiana Clinical Documentation Specialist Exam Prep 2026-2027 Page 2
, Indiana Clinical Documentation Specialist Exam Prep 2026-2027 Page 3
