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2. The Hospital Readmission Reduction Program (HRRP) uses a three-year performance calculation, with rate reduction being applied for ALL Medicare Fee for Service (FFS) DRGs for outlier facilities. The maximum cap is up to
3. The Hospital Acquired Conditions (HAC) Reduction Program is set to penalize facilities that fall in the worst performing quartile (lowest 25% performer) of all HAC scores with a 1% payment reduction. Which one of the following is true? (select ALL that are correct):
4. The Medicare Spend Per Beneficiary calculation performed by CMS (choose the ONE best answer)
5. CMS developed the Stars program to measure how well hospitals deliver care to members. Which of the below is NOT a true statement?
6. Regarding the Hospital Acquired Condition (HAC) Present On Admission (POA) program (select the correct answer)
7. Which of the following TWO measures are used in calculating the Hospital-Acquired Condition (HAC) Reduction Program?
8. The document that is best suited to streamline care transitions from the hospital stay is the discharge summary. Which of the following are noted as being important in capture of the discharge summary?
9. In 2022, CMS launched the National Quality Strategy to promote the highest quality outcomes and safest care for
10. Which hospital quality program incentivizes facilities for submitting data and serves as a “gateway” into several other quality reporting programs?