CCDS POA and Hospital-Acquired Conditions (HACs) 5

Question 1

Which of the following conditions is NOT included in the CMS list of Hospital-Acquired Conditions subject to the HAC payment provision?

Accepted Answer

Community-acquired Clostridioides difficile infection

Answer

Community-acquired C. difficile infection is present on admission and is not a HAC; only hospital-acquired C. difficile is included in the HAC list.

Question 2

A diabetic patient is admitted for elective knee replacement. Preoperative glucose is 280 mg/dL. On post-op day 2, blood glucose rises to 310 mg/dL. How should POA be assigned for hyperglycemia?

Accepted Answer

Y, because the patient had diabetes and elevated glucose before admission

Answer

The underlying diabetes and elevated glucose were clinically present before admission, so hyperglycemia receives a POA indicator of 'Y'.

Question 3

Under ICD-10-CM POA reporting guidelines, which category of codes is EXEMPT from POA indicator reporting?

Accepted Answer

External cause codes

Answer

External cause codes (V, W, X, Y codes) are exempt from POA indicator reporting per ICD-10-CM official guidelines.

Question 4

A patient is admitted from a skilled nursing facility (SNF) with a stage 3 pressure injury on the sacrum. The SNF transfer documentation confirms the injury pre-existed admission. What POA indicator should be assigned?

Accepted Answer

Y

Answer

A stage 3 pressure injury documented and confirmed as present before the current hospital admission receives POA indicator 'Y'.

Question 5

Which of the following best describes the 'POA exempt' status of a HAC on the CMS HAC list?

Accepted Answer

The MS-DRG payment is not adjusted even if the condition is not POA

Answer

When a HAC is designated as POA exempt, CMS will not adjust the MS-DRG payment even if the condition was not present on admission.

CCDS - Certified Clinical Documentation Specialist Practice Test

CCDS - Certified Clinical Documentation Specialist Practice Test

CCDS POA and Hospital-Acquired Conditions (HACs) 5