ACTUAL COMPLETE QUESTIONS AND
1005 CORRECT SOLUTIONS APPROVED
BY EXPERT 2025 NEW UPDATE.
1. What is the formula for calculating DRG reimbursement?
ANS: The ANS Base (blended) rate is multiplied by the ___________ to calculate DRG
reimbursement.
2. What should the MS-DRG assigned to a patient's medical record reflect?
ANS: The MS-DRG assigned to a patient's medical record should reflect the resource
consumption and care provided.
3. What is the relationship between the principal procedure and the principal diagnosis?
ANS: The principal procedure is usually related to the principal diagnosis and follows the
surgical hierarchy.
4. Define Principal Diagnosis.
ANS: The condition established after study to be chiefly responsible for occasioning the
admission of the patient to the hospital for care.
5. What is the Present on Admission (POA) status and who determines it?
ANS: Present on admission status is an AHIMA mandate and can only be determined by the
physician.
6. Define secondary diagnosis (per UHDDS Guidelines).
ANS: Monitored, evaluated, treated, extends the length of stay and increases nursing resources.