CNML Test Questions and Answers Updated 2026

CNML Test Questions and Answers
Updated 2026
DRGsC-CAnswerDiagnostic-RelatedCGroups:CpaymentCrateCbasedConCspecificCdiagnoses



ProspectiveCPaymentCSystemC-CAnswerUsedCbyCMedicare-
participatingChospitals:CpretreatmentCdiagnosisCbillingsCbasedConCDRGs;CrateCdecidedCaheadC
ofCtimeCbetweenCinsuranceCcompaniesCandChospitals



ExclusiveCProviderC-
CAnswerUsedCbyCHMO's:CinsuranceCcoverageCforCcontractedCprovidersCorCinstitutions


HMOsC-
CAnswerHealthCmaintenanceCorganizations:CcomprehensiveChealthcareCtoCpeopleCwhoCpayCaC
feeCforCaCfixedCperiodCofCtime



CapitationC-
CAnswerFixedCrateCpaidCtoCproviderCperCmemberCperCmonthCforChealthcareCservices;CsetCfe
eCpaidCbyCinsuranceCcompanyCperCmonthCforCallCtheCpatientCneeds



PPOsC-
CAnswerPreferredCproviderCorganizations:CspecialCreducedCrateCforCservicesCwhenCcustomersC
useCcertainCprovidersCapprovedCbyCtheCinsuranceCcompany;CusuallyCfee-for-service



IPAsC-
CAnswerIndividualCproviderCarrangements:CprovideCcareCinCtheirCofficesCforCprepaidCplans;Cc
oalitionCofCphysiciansCwhoCserveCHMOCpatientsCandCthird-partyCpatients



FulltimeCFTECHoursC-CAnswer2080ChoursC(1.0C@C40ChoursCperCweek)



CapitalCExpensesC-CAnswerLong-termCequipmentCorCphysicalCpurchases:CusuallyCoverC$500-
$1000CthatCwillClastCyearsCandCdepreciateCoverCtimeCandCbeCusedCmultipleCtimes



Zero-BasedCBudgetC-
CAnswerWithCeachCnewCbudgetC(i.e.CfiscalCyear),CitCisCdeterminedCwhichCprograms/areasCge

,tCmoney;CnoChistoricalCcontextCisCused;CmayCrankCpackagesCandCthenConlyCfundCtop-
rankedCones;CcanCbeCtime-consumingCwayCtoCcreateCaCbudget



VarianceCCalculationC&CRemindersC-
CAnswerVarianceC$C/BudgetedC$CXC100C=C%Cdifference;CcontractCstaffConCseparateClineCofC
budget;CmanyCstaffCsickCcostsCmoreCthanCaCfewCstaffConCLOA



CostCofCNursingCServicesCCalculationC-
CAnswerNurseCTimeCXC(Avg.CRNCHourlyCRateC+CBenefitsC+CIndirects)C=CTotalCNursingCCostCp
erCDRG



GeneralCNurseCStaffingCCalculationC-
CAnswer#CofCRNsCneededCXCdaysCopenC/C#CdaysCworkedCperCRN


FTECDefinitionC&CCalculationC-CAnswerFull-timeCequivalentC=Cfull-
timeCemployeeCpaidCforC1Cyear



FTEC=C(HoursCperCshiftCXC#CofCdaysCworked)C/C40Chours



FixedCCostsC-
CAnswerStayCtheCsameCnoCmatterCtheCcensus:CmanagerCsalaries,CkeepingCphonesCon,Crent,C
etc.



VariableCCostsC-CAnswerChangeCwithCcensusCandChowCmuchCstaffingCisCused



NetCRevenueCCalculationC-CAnswerGrossCRevenueC-
CDeductionsCfromCRevenueC(DRGsCandCtheCContractualCallowancesCpaidCbyCinsuranceCcompa
nies)



UAPC-CAnswerUnlicensedCassistiveCpersonnelC(CNA's)



ADCC-CAnswerAverageCdailyCcensusC(patientsCinCaCbedCatCmidnight)



TotalCPatientCDaysCCalculationC-CAnswerADCCXCDaysCopenCperCyearC(forCSCHC-CADCCXC365)

, NurseCHoursCPerCPatientCDayC(HPPD)CCalculationC-
CAnswerTotalCDirectCCareCHoursC/CTotalCPatientCDaysC=C#CofCRNChoursCneededCtoCprovideC
careCforCaCpt.CforC24Chours.C



ForCexampleC-
CforC12ChourCstaffCandC12CworkersCeachCshiftCyouCmultiplyC12CstaffCXC2CshiftsC=C24CstaffC
XC12ChoursCeachC=C288CdividedCbyCmidnightCcensusCofC31C=CNHPPD



VBPC-CAnswerValue-
basedCpurchasing:ChowCCMSCdeterminesChowCmuchCtoCreimburseCaChospitalCforCcareC(benc
hmarkedCstandardsCandChowCtheyCareCmeetingCit);CqualityCofCcareC&CfollowingCbestCpractic
eC&CpatientCexperience



PerCDiemCRateC-
CAnswerNegotiatedCpayCforCservicesCbyCinsuranceCcompaniesCregardlessCofCwhatCservicesCw
ereCactuallyCcompleted;CperCdayCadmitted



UOSC-
CAnswerUnitCofCservice:CpatientCdaysCforCinpatientCnursingCbutCcouldCbeCvisitsCorC#CofCpro
ceduresCorCwhateverCthatChealthcareCorganizationCcounts



RVUC-
CAnswerRelativeCvalueCunit:CwhatCancillaryCservicesCmightCuseCtoCaddCupCtheirCUOS;C#CofC
hi-flowsChookedCupCorCventsCstartedCforCRT.,CforCexample



ALOSCCalculationC-
CAnswerAverageClengthCofCstayC=C#CofCpt.CdaysC/C#CofCdischargesC(inCsameCtimeCperiod)


CPUOSC-CAnswerCostCperCunitCofCserviceC=CsalariesC/CUOS



ProductivityC-CAnswer#CofCstaffChoursCorC$'sC/C#CofCUOSC



RNChoursC/CpatientsCinCbedsC@CmidnightC(HOC)