CNML Review Exam Questions And 100%
Correct Answers
LEADERSHIP - ANSWER Leadership is an art and science; to lead a team, one must
inspire, give direction, and establish goals for the team, while providing vision and
guidance for them and holding them accountable for the outcome.
Prospective payments - ANSWER Prospective payments are reimbursement rates
pre-agreed between insurance companies and the hospital.
DRG'S - ANSWER diagnostic related group of reimbursement rates based on certain
diagnoses.
Capitation - ANSWER is the payment per patient for a certain period of time by the
insurance company, whether the latter has been admitted to the hospital or availed
themselves of any other medical facilities within the period.
Per Diem - ANSWER The per diem rates of insurance payment are fixed for each day of
admission in the hospital.
Case mix index (CMI)-diagnosis treatment, age, and other clinical/financial/categories to
develop a reimbursement rate system classifying pts. Average Daily Census (ADC)-the
average # of patients on an inpatient unit for a set period of time (week, month, year),
often collected at midnight Productivity-the amount of work performed by a set number
of employees.
How is ADC calculated? - ANSWER The ADC is calculated by dividing the total patient
days for the year by 365.
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.
What is CMS? - ANSWER Centers for Medicare and Medicaid Services is a federal
government agency responsible for administering rules set by the U.S. Department of
Health and Human services.
Sentinel event - ANSWER an unexpected occurance involving serious physical or
psychological injury, including an unexpected death.
When would you use a fishbone diagram? - ANSWER to brainstorm a process
When would you use a run chart? - ANSWER A run chart is used to plot data over time to
show trends or patterns.
What does a histogram reveal? - ANSWER A histogram is used to show the frequency a
particular variable occurs within a range of values.
What is a flow chart? - ANSWER A flow chart is used on a process improvement project
to illustrate graphically the steps to a process.
What is a Gantt chart? - ANSWER A Gantt chart is used to illustrate a project's planned
timeline.
What is a scattergram? - ANSWER A scattergram is used to illustrate variation between
items based on the frequency they occur.
What is a pareto diagram? - ANSWER A pareto diagram depicts the frequency of
occurences in order of appearance or frequency.
What is a bar graph? - ANSWER A bar graph, shows values of a number of different
Correct Answers
LEADERSHIP - ANSWER Leadership is an art and science; to lead a team, one must
inspire, give direction, and establish goals for the team, while providing vision and
guidance for them and holding them accountable for the outcome.
Prospective payments - ANSWER Prospective payments are reimbursement rates
pre-agreed between insurance companies and the hospital.
DRG'S - ANSWER diagnostic related group of reimbursement rates based on certain
diagnoses.
Capitation - ANSWER is the payment per patient for a certain period of time by the
insurance company, whether the latter has been admitted to the hospital or availed
themselves of any other medical facilities within the period.
Per Diem - ANSWER The per diem rates of insurance payment are fixed for each day of
admission in the hospital.
Case mix index (CMI)-diagnosis treatment, age, and other clinical/financial/categories to
develop a reimbursement rate system classifying pts. Average Daily Census (ADC)-the
average # of patients on an inpatient unit for a set period of time (week, month, year),
often collected at midnight Productivity-the amount of work performed by a set number
of employees.
How is ADC calculated? - ANSWER The ADC is calculated by dividing the total patient
days for the year by 365.
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.
What is CMS? - ANSWER Centers for Medicare and Medicaid Services is a federal
government agency responsible for administering rules set by the U.S. Department of
Health and Human services.
Sentinel event - ANSWER an unexpected occurance involving serious physical or
psychological injury, including an unexpected death.
When would you use a fishbone diagram? - ANSWER to brainstorm a process
When would you use a run chart? - ANSWER A run chart is used to plot data over time to
show trends or patterns.
What does a histogram reveal? - ANSWER A histogram is used to show the frequency a
particular variable occurs within a range of values.
What is a flow chart? - ANSWER A flow chart is used on a process improvement project
to illustrate graphically the steps to a process.
What is a Gantt chart? - ANSWER A Gantt chart is used to illustrate a project's planned
timeline.
What is a scattergram? - ANSWER A scattergram is used to illustrate variation between
items based on the frequency they occur.
What is a pareto diagram? - ANSWER A pareto diagram depicts the frequency of
occurences in order of appearance or frequency.
What is a bar graph? - ANSWER A bar graph, shows values of a number of different
