CNML Test Questions with Correct Answers
LEADERSHIP
Leadership is the art and science of providing direction, inspiration, and goals to a team by
providing vision, guidance, and holding them accountable for outcomes.
Prospective payments
Prospective payments are rates agreed upon in advance by insurance companies and the
hospital.
DRG'S
diagnostic related groups of reimbursement rates based on specific diagnoses.
Capitation
is a fee the insurance company pays per patient for a set period of time whether they are
admitted to the hospital or use other medical services during that time.
Per Diem
Per diem are set rates of payment by the insurance company per day of admission in the
hospital.
Case mix index (CMI)
is a system that classifies pts according to diagnosis, treatment, age, and other clinical/
financial/categories to develop a reimbursement rate.
Productivity
the amount of work performed by a set number of employees.
Average Daily Census (ADC)
LEADERSHIP
Leadership is the art and science of providing direction, inspiration, and goals to a team by
providing vision, guidance, and holding them accountable for outcomes.
Prospective payments
Prospective payments are rates agreed upon in advance by insurance companies and the
hospital.
DRG'S
diagnostic related groups of reimbursement rates based on specific diagnoses.
Capitation
is a fee the insurance company pays per patient for a set period of time whether they are
admitted to the hospital or use other medical services during that time.
Per Diem
Per diem are set rates of payment by the insurance company per day of admission in the
hospital.
Case mix index (CMI)
is a system that classifies pts according to diagnosis, treatment, age, and other clinical/
financial/categories to develop a reimbursement rate.
Productivity
the amount of work performed by a set number of employees.
Average Daily Census (ADC)
