CNML Test Questions and Correct Verified Answers Latest Version
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Course
CNML
Institution
CNML
DRGs
Diagnostic-Related Groups: payment rate based on specific diagnoses
Prospective Payment System
Used by Medicare-participating hospitals: pretreatment diagnosis
billings based on DRGs; rate decided ahead of time between
insurance companies and hospitals
Exclusive Provider
Used by HM...
✓ Full-time equivalent = full-time employee paid for 1 year
✓
✓ FTE = (Hours per shift X # of days worked) / 40 hours
Fixed Costs
✓ Stay the same no matter the census: manager salaries, keeping
phones on, rent, etc.
Variable Costs
✓ Change with census and how much staffing is used
Net Revenue Calculation
✓ Gross Revenue - Deductions from Revenue (DRGs and the Contractual
allowances paid by insurance companies)
UAP
✓ Unlicensed assistive personnel (CNA's)
ADC
✓ Average daily census (patients in a bed at midnight)
Master01 | September, 2024/2025 | Latest update
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