PRESENT ON ADMISSION (POA)/HOSPITAL ACQUIRED CONDITIONS (HAC)
Using the POA Reporting Designations select the correct designation for the examples (See AHIMA article for more detailed description). HINT: Remember to review the exempt codes
Y – Present on admission
W – Based on data and clinical judgment it is not possible to document when the onset of the condition occurred
N – Not present on admission
U – Documentation is insufficient to determine if the condition was present on admission
1 – Exemption from POA reporting
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CONDITION |
DESIGNATION |
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1 |
Pt was admitted with an intracranial hemorrhage, nontraumatic. He was noted to have cognitive social deficits. What is the designation for the cognitive social deficits? |
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2 |
Pt admitted with dx of breast cancer and mets to the brain is diagnosed during stay. What is the designation for the brain mets |
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3 |
Pt admitted with dx of chronic COPD; during the stay the physician notes that he has acute exacerbation. What is the designation? |
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4 |
Pt admitted for pneumonia. During the stay the patient falls out of bed and fx L hip. What is the designation for the L hip fx? |
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5 |
Pt has n/v, pain. She is diagnosed with gastritis. During the stay she was also diagnosed with a UTI. What is the designation for the UTI? |
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6 |
Pt develops sepsis during stay after hernia repair. What is the designation for the sepsis? |
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7 |
Pt is admitted directly from a dialysis center for a clogged shunt. What is the designation for the clogged shunt? |
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8 |
Pt admitted with indwelling urinary catheter and pneumonia from a nursing home. Cultures for urine from the ER come back the next day as positive for Ecoli. What is the designation for the UTI? |
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9 |
NB was affected by maternal hypertensive disorder. What is the designation? |
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10 |
Patient was admitted with a stage II pressure ulcer. During the stay the pressure ulcer progresses to a stage III. What is the designation for the Stage III? |
1. Pt was admitted with an intracranial hemorrhage, nontraumatic. He was noted to have cognitive social deficits. The designation for the cognitive social deficits is Y ,because it was present at the time of admission
2. Pt. admitted with dx of breast cancer and mets to the brain is diagnosed during stay. The designation for the brain mets is W , because it is not possible to document when the onset of the condition occured .
3. Pt. admitted with dx of chronic COPD; during the stay the physician notes that he has acute exacerbation. The designation is N , because this exacerbation was not present at the time of admission
4. Pt. admitted for pneumonia. During the stay the patient falls out of bed and fx L hip. The designation for the L hip fx is N ,because there was no fracture of left hip at the time of admission .
PRESENT ON ADMISSION (POA)/HOSPITAL ACQUIRED CONDITIONS (HAC) Using the POA Reporting Designations select the correct designation...
PRESENT ON ADMISSION (POA)/HOSPITAL ACQUIRED CONDITIONS (HAC) ASSIGNMENT: Using the POA Reporting Designations select the correct designation for the examples (See AHIMA article for more detailed description). HINT: Remember to review the exempt codes Y – Present on admission W – Based on data and clinical judgment it is not possible to document when the onset of the condition occurred N – Not present on admission U – Documentation is insufficient to determine if the condition was present on admission...
Instructions The Hospital-Acquired Conditions Present on Admission (POA) Program designates diagnosis and procedures that are considered preventable in the inpatient setting. One condition applicable for FY 2018 is Stage III and Stage IV pressure ulcers (ICD-10-CM codes in category L89). To indicate whether the pressure ulcer was present when the patient was admitted or was acquired during the hospital stay, the hospital must report a present on admission code for L89 diagnosis codes on the claim form. Hospitals with HAC...
Under the Hospital Acquired Conditions provision of the IPPS, the Secretary of Health and Human Services has designated several conditions that, when acquired during a hospital admission, have the potential to reduce MS-DRG payment. One of the conditions applicable for FY 2015 are Pressure Ulcers (ICD-10-CML89.X) codes. To identify if the pressure ulcer was present when the patient was admitted or was acquired during the hospital stay, the hospital must report a present on admission code for each diagnosis on...