ONSITE EXAM SCORING RESUMED APRIL 15, 2016
To become a Certified Clinical Documentation Specialist (CCDS), a candidate must pass the examination. This examination is offered in two methods:
- Via paper-and-pencil at the Association of Clinical Documentation Improvement Specialists (ACDIS) annual conference.
- At one of approximately 190 AMP Assessment Centers located around the country (click on your state for locations and directions).
Candidates who apply to take the examination will be contacted by the program when they have been approved to take the examination.
Candidates have four months/120 days from the date their name is submitted to AMP to schedule and take their exam.
There are no application deadlines and a candidate who meets eligibility requirements may submit an application and fee at any time. The computer vesion of the examination is by appointment only Monday through Saturday at 9:00 a.m. and 1:30 p.m. Candidates are scheduled on a first-come, first served basis.
CCDS examination takers will be allowed to bring the following two books with them into the test:
- DRG Expert, published by OPTUM. Book must be an ICD-10 edition.
- One of the following standard drug reference guides:
- Mosby's Nursing Drug Reference
- Nurse's Pocket Drug Guide
- Physicians' Desk Reference
- PDR Nurse's Drug Handbook
- Nursing Drug Handbook/Lippincott's
Books will be checked for additional pages or loose notes inserted or attached inside. These are not allowed to be brought into the exam. Page tabs are permitted,
The passing score on the exam is 89 (89 correct answers out of 120 scored questions).
The overall pass rate for the CCDS exam for 2015 was 74.2%.
Types of examination questions
The examination is an objective, multiple-choice test consisting of 120 questions. One hundred questions will be used in computing the score. The exam questions have been designed to test the candidate's multidisciplinary knowledge of clinical, coding, and healthcare regulations, as well as the roles and responsibilities of a clinical documentation specialist. The questions are updated on a continuous basis to keep them relevant to current realities in healthcare. Choices of answers to the examination questions will be identified as A, B, C, or D.
- Recall questions test the candidate's knowledge of specific facts and concepts relevant to the day-to-day work of clinical documentation improvement professionals. Because the examination is an "open book" test, candidates may use reference resources to answer recall questions, as this is the manner in which clinical documentation improvement professionals frequently carry out their responsibilities.
- Application questions require the candidate to interpret or apply information, guidelines, or rules to a particular situation.
- Analysis questions test the candidate's ability to evaluate and integrate a range of information in problem solving to address a particular challenge.
The current exam is designed so that approximately 40% of the questions will be of the recall type, 40% of the application type, and 20% of the analysis type.
Certification examination content
The exam content is based on analysis of the activities of clinical documentation specialists in a wide range of settings, hospital sizes, and circumstances. Input from a survey taken by members of the Association of Clinical Documentation Improvement Specialists (ACDIS), and the input and research of an advisory board comprised of experienced clinical documentation specialists, was used to identify seven core competencies with which clinical documentation specialists should have a strong working knowledge.
Click this link to download a PDF of exam content.
Management and examination services
The Association of Clinical Documentation Improvement Specialists (ACDIS) contracts with Applied Measurement Professionals, Inc., (AMP) to provide management and examination services. AMP provides administrative support for the certification process, including examination development, validation, and administration. AMP carefully adheres to industry standards for development of practice-related, criterion-referenced examinations to assess competency.
AMP offers a full range of services, including practice analyses and development of examination specifications, psychometric guidance to committees of content experts during examination question writing, development of content, valid examination instruments, publishing, examination administration, scoring, and reporting examination results.
Applied Measurement Professionals, Inc. (AMP)
18000 West 105th Street
Olathe, KS 66061-7543
ACDIS maintains records, handles finances, and processes examination applications, certification materials, and requests for continuing education approvals.