The director of nursing is reviewing the characteristics of the do-not-pay list published by the Centers for Medicare and Medicaid Services (CMS). Which disease process should the director highlight as being on this list? Select all that apply.
A) Falls
B) Pneumonia
C) Surgical site infection
D) Stage III pressure ulcer
E) Deep venous thrombosis
A) Falls
C) Surgical site infection
D) Stage III pressure ulcer
E) Deep venous thrombosis
Explanation: A) The Deficit Reduction Act (DRA) of 2006 required that the CMS oversee the Hospital Acquired Conditions-Present on Admission (HAC-POA) Program. The HAC-POA evaluates payment, based on whether there is documented clinical evidence that a condition was present during the hospitalization and if it was noted to be present on admission to the healthcare facility. If conditions are not properly documented within the EHR as being present on admission, the condition is assumed to be hospital acquired and, therefore, will most likely fall into the do-not-pay category of CMS reimbursement. Examples of the HAC-POA conditions that CMS has placed on a do-not-pay list include falls.
B) Pneumonia is not on the do-not-pay list.
C) The Deficit Reduction Act (DRA) of 2006 required that the CMS oversee the Hospital Acquired Conditions-Present on Admission (HAC-POA) Program. The HAC-POA evaluates payment, based on whether there is documented clinical evidence that a condition was present during the hospitalization and if it was noted to be present on admission to the healthcare facility. If conditions are not properly documented within the EHR as being present on admission, the condition is assumed to be hospital acquired and, therefore, will most likely fall into the do-not-pay category of CMS reimbursement. Examples of the HAC-POA conditions that CMS has placed on a do-not-pay list include surgical site infections.
D) The Deficit Reduction Act (DRA) of 2006 required that the CMS oversee the Hospital Acquired Conditions-Present on Admission (HAC-POA) Program. The HAC-POA evaluates payment, based on whether there is documented clinical evidence that a condition was present during the hospitalization and if it was noted to be present on admission to the healthcare facility. If conditions are not properly documented within the EHR as being present on admission, the condition is assumed to be hospital acquired and, therefore, will most likely fall into the do-not-pay category of CMS reimbursement. Examples of the HAC-POA conditions that CMS has placed on a do-not-pay list include stage III pressure ulcers.
E) The Deficit Reduction Act (DRA) of 2006 required that the CMS oversee the Hospital Acquired Conditions-Present on Admission (HAC-POA) Program. The HAC-POA evaluates payment, based on whether there is documented clinical evidence that a condition was present during the hospitalization and if it was noted to be present on admission to the healthcare facility. If conditions are not properly documented within the EHR as being present on admission, the condition is assumed to be hospital acquired and, therefore, will most likely fall into the do-not-pay category of CMS reimbursement. Examples of the HAC-POA conditions that CMS has placed on a do-not-pay list include deep venous thrombosis.
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