Reference no: EM133689467

Question

Examine the case example below. Which statement correctly describes how present-on-admission (POA) and hospital-acquired condition (HAC) definitions of a patient's secondary condition may impact the acute care hospital's Medicare payment in this case? Patient X was admitted from a nursing home for open reduction of a fractured femur sustained during a fall. While hospitalized, the patient developed and was treated for a Stage I pressure ulcer. Question 210 options: The pressure ulcer would be counted as a complication or comorbidity because it was present on admission; the case groups into a higher weighted MS-DRG, positively impacting payment. Falls are a category of hospital-acquired conditions; the hospital would not receive payment since a fall is identified in this case. The pressure ulcer developed during hospitalization; the case would not group to a higher weighted MS-DRG because the ulcer and the fall could have been prevented using best clinical practices. A pressure ulcer developed during the stay, but Stage I does not qualify it as a HAC. Counted as a complication or comorbidity, this groups the case into a higher weighted MS-DRG, positively impacting payment.