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Exam (elaborations)

CNML Review || A+ RATED

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  • Course
  • CNML
  • Institution
  • CNML

LEADERSHIP - Correct Answer Leadership is the art and science of providing direction, inspiration, and goals to a team by providing vision, guidance, and holding them accountable for outcomes. Prospective payments - Correct Answer Prospective payments are rates agreed upon in advance by insu...

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  • November 5, 2024
  • 2
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • CNML
  • CNML
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Victoria108
CNML Review || A+ RATED
LEADERSHIP - Correct Answer Leadership is the art and science of providing
direction, inspiration, and goals to a team by providing vision, guidance, and holding
them accountable for outcomes.

Prospective payments - Correct Answer Prospective payments are rates agreed upon
in advance by insurance companies and the hospital.

DRG'S - Correct Answer diagnostic related groups of reimbursement rates based on
specific diagnoses.

Capitation - Correct Answer is a fee the insurance company pays per patient for a set
period of time whether they are admitted to the hospital or use other medical services
during that time.

Per Diem - Correct Answer Per diem are set rates of payment by the insurance
company per day of admission in the hospital.

Case mix index (CMI) - Correct Answer is a system that classifies pts according to
diagnosis, treatment, age, and other clinical/ financial/categories to develop a
reimbursement rate.

Productivity - Correct Answer the amount of work performed by a set number of
employees.

Average Daily Census (ADC) - Correct Answer the average number of patients on an
inpatient unit for a set period of time (week, month, year) , often collected at midnight.

How is ADC calculated? - Correct Answer The ADC is calculated by dividing the total
patient days for the year by 365.

What are patient days? - Correct Answer Patient days are calculated by adding up the
census every day for the entire year or calculated by multiplying the average daily
census by 365.

What is CMS? - Correct Answer Centers for Medicare and Medicaid Services is a
federal government agency responsible for administering rules set by the U.S.
Department of Health and Human services.

Sentinel event - Correct Answer an unexpected occurance involving serious physical
or psychological injury, including an unexpected death.

When would you use a fishbone diagram? - Correct Answer to brainstorm a process

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