C810 WGU Section 3 Questions
with Correct Answers (VERIFIED)
Define case-mix index (CMI)—ANSWER--Types or categories of patients treated by the
hospital
Define diagnosis-related group (DRG)—ANSWER--A unit of case-mix classification adopted
by the federal government and some other payers as a prospective payment mechanism for
hospital inpatients in which diseases are placed into groups because related diseases and
treatments tend to consume similar amounts of healthcare resources and incur similar
amounts of cost
What is the Healthcare Effectiveness Data and Information Set (HEDIS)?—ANSWER--
Developed by the NCQA, a set of standardized measures used to compare managed care
plans in terms of the quality of services they provide
Define hospital acquired conditions (HAC)—ANSWER--Conditions that were not present on
admission
Define long-term care hospital (LTCH)—ANSWER--Hospitals that have an average inpatient
LOS greater than 25 days
Define Medicare severity diagnosis-related groups (MS-DRGs)—ANSWER--Was previously
the DRG system and now better accounts for severity of illness and resource consumption
, What is the miniumum data set 3.0 (MDS)?—ANSWER--The minimum core of defined and
categorized patient assessment data that serves as the basis for documentation and
reimbursement in an SNF
What is the Outcome and Assessment Information Set-D (OASIS-D)?—ANSWER--Consists of
data elements that (1) represent core items for the comprehensive assessment of an adult
home care patient and (2) form the basis for measuring patient outcomes for the purpose of
outcome-based quality improvement
What is the Resident Assessment Validation and Entry (RAVEN)?—ANSWER--CMS software
for nursing homes to manage Minimum Data Set (MDS) data
Define administrative applications—ANSWER--The technologies and software used to gather
and organize administrative data
Define automated drug dispensing machiens—ANSWER--Machines that are secure and
make drugs specific to patient orders readily available to nursing staff
Define Medication administration record (MAR)—ANSWER--A record that is maintained by
nursing staff for all patients and includes medications given, time, form of administration,
and dosage and strength
Patient's rights
Define clinical decision supprt (CDS) systems—ANSWER--Interactive programs designed to
assist clinicians in making patient care decisions
© 2026 Copyright. All Rights Reserved. This document is
protected by copyright law, Copyrighted By Brittie Donald
with Correct Answers (VERIFIED)
Define case-mix index (CMI)—ANSWER--Types or categories of patients treated by the
hospital
Define diagnosis-related group (DRG)—ANSWER--A unit of case-mix classification adopted
by the federal government and some other payers as a prospective payment mechanism for
hospital inpatients in which diseases are placed into groups because related diseases and
treatments tend to consume similar amounts of healthcare resources and incur similar
amounts of cost
What is the Healthcare Effectiveness Data and Information Set (HEDIS)?—ANSWER--
Developed by the NCQA, a set of standardized measures used to compare managed care
plans in terms of the quality of services they provide
Define hospital acquired conditions (HAC)—ANSWER--Conditions that were not present on
admission
Define long-term care hospital (LTCH)—ANSWER--Hospitals that have an average inpatient
LOS greater than 25 days
Define Medicare severity diagnosis-related groups (MS-DRGs)—ANSWER--Was previously
the DRG system and now better accounts for severity of illness and resource consumption
, What is the miniumum data set 3.0 (MDS)?—ANSWER--The minimum core of defined and
categorized patient assessment data that serves as the basis for documentation and
reimbursement in an SNF
What is the Outcome and Assessment Information Set-D (OASIS-D)?—ANSWER--Consists of
data elements that (1) represent core items for the comprehensive assessment of an adult
home care patient and (2) form the basis for measuring patient outcomes for the purpose of
outcome-based quality improvement
What is the Resident Assessment Validation and Entry (RAVEN)?—ANSWER--CMS software
for nursing homes to manage Minimum Data Set (MDS) data
Define administrative applications—ANSWER--The technologies and software used to gather
and organize administrative data
Define automated drug dispensing machiens—ANSWER--Machines that are secure and
make drugs specific to patient orders readily available to nursing staff
Define Medication administration record (MAR)—ANSWER--A record that is maintained by
nursing staff for all patients and includes medications given, time, form of administration,
and dosage and strength
Patient's rights
Define clinical decision supprt (CDS) systems—ANSWER--Interactive programs designed to
assist clinicians in making patient care decisions
© 2026 Copyright. All Rights Reserved. This document is
protected by copyright law, Copyrighted By Brittie Donald
