ACTUAL QUESTIONS AND CORRECT
ANSWERS
POA - Correct answers✔✔Indicator for conditions present on admission.
HAC - Correct answers✔✔Hospital-Acquired Condition affecting reimbursement.
HCC - Correct answers✔✔Hierarchical Condition Category for risk adjustment.
CMS - Correct answers✔✔Centers for Medicare and Medicaid Services.
P4P - Correct answers✔✔Pay-for-Performance system rewarding quality care.
CDM - Correct answers✔✔Charge Description Master for billing accuracy.
CMI - Correct answers✔✔Case Mix Index indicating resource intensity.
MIPS - Correct answers✔✔Merit-based Incentive Payment System for physician performance.
RW - Correct answers✔✔Relative Weight for MS-DRG payment calculation.
BR - Correct answers✔✔Base Rate used in hospital billing.