CNML FINAL PAPER EXAM QUESTIONS ACCURATE ANSWERS FULL SOLUTION
CNML Final Paper 2026/2027 Questions and
Answers Verified Solutions Latest Update
Question:
Prospective payments.
Answer:
Prospective payments are rates agreed upon in advance by insurance companies and the hospital.
Question:
DRG'S.
Answer:
diagnostic related groups of reimbursement rates based on specific diagnoses.
Question:
Capitation
Answer:
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.
Question:
Per Diem
Answer:
Per diem are set rates of payment by the insurance company per day of admission in the hospital.
Question:
Case mix index (CMI)
, Answer:
is a system that classifies pts according to diagnosis, treatment, age, and other clinical/
financial/categories to develop a reimbursement rate.
Question:
Productivity
Answer:
the amount of work performed by a set number of employees.
Question:
Average Daily Census (ADC)
Answer:
the average number of patients on an inpatient unit for a set period of time (week, month, year),
often collected at midnight.
Question:
How is ADC calculated?
Answer:
The ADC is calculated by dividing the total patient days for the year by 365.
Question:
What are patient days?
Answer:
Patient days are calculated by adding up the census every day for the entire year or calculated by
multiplying the average daily census by 365.
Question:
CNML Final Paper 2026/2027 Questions and
Answers Verified Solutions Latest Update
Question:
Prospective payments.
Answer:
Prospective payments are rates agreed upon in advance by insurance companies and the hospital.
Question:
DRG'S.
Answer:
diagnostic related groups of reimbursement rates based on specific diagnoses.
Question:
Capitation
Answer:
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.
Question:
Per Diem
Answer:
Per diem are set rates of payment by the insurance company per day of admission in the hospital.
Question:
Case mix index (CMI)
, Answer:
is a system that classifies pts according to diagnosis, treatment, age, and other clinical/
financial/categories to develop a reimbursement rate.
Question:
Productivity
Answer:
the amount of work performed by a set number of employees.
Question:
Average Daily Census (ADC)
Answer:
the average number of patients on an inpatient unit for a set period of time (week, month, year),
often collected at midnight.
Question:
How is ADC calculated?
Answer:
The ADC is calculated by dividing the total patient days for the year by 365.
Question:
What are patient days?
Answer:
Patient days are calculated by adding up the census every day for the entire year or calculated by
multiplying the average daily census by 365.
Question:
