The nurse is concerned that the hospital will not receive payment for care provided to a client. Which client health problems are causing the nurse this concern?
1. Intravenous fluids were prescribed for 4 days.
2. X-rays of the left leg and left arm were prescribed.
3. A stage II pressure ulcer developed on the client's heels.
4. A urinary tract infection occurred because of an indwelling urinary catheter.
5. Physical therapy treatments were prescribed for 7 days for crutch walking.
Correct Answer: 3, 4
Rationale 1: There is no reason for intravenous fluids to not be paid.
Rationale 2: There is no reason for x-rays to not be paid.
Rationale 3: In efforts to decrease cost and encourage attention to preventable conditions, for discharges occurring after October 1, 2008, hospitals no longer receive additional payment for cases in which one of several identified preventable conditions was not present on admission. That is, the case would be paid as though the secondary diagnosis were not present. Examples of hospital-acquired conditions (HACs) are pressure ulcers and urinary tract infections following catheterization.
Rationale 4: In efforts to decrease cost and encourage attention to preventable conditions, for discharges occurring after October 1, 2008, hospitals no longer receive additional payment for cases in which one of several identified preventable conditions was not present on admission. That is, the case would be paid as though the secondary diagnosis were not present. Examples of hospital-acquired conditions (HACs) are pressure ulcers and urinary tract infections following catheterization.
Rationale 5: There is no reason for physical therapy treatments to not be paid.
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