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1. Read pages 1-33 in the CMS document Accuracy of Coding in the Hospital-Acquired Conditions–Present on Admission Program: Final Report from the Lesson One course materials. If you are not familiar with this CMS initiative, you may want to review the FAQ document that offers a quick overview of the essentials.The issue being addressed is the accuracy of the coding of POA and HACs substantiated by the documentation in the medical record. So what defines the accuracy of coding? This question is specifically addressed on pages 1 and 2 of the document and again in more detail under the heading “Conceptual Definition of Accuracy of Coding” on pages 8-10. Pay attention to section 4.4.1, “Physician Queries Related to Potential HACs,” beginning on page 28. This section emphasizes the importance of clinical documentation and ensuring that a complete accounting of the patient’s care is recorded in the medical record

1. While the findings of the report were generally favorable to providers, how would having an operational definition of accuracy temper provider criticism if the findings had been less favorable to providers?
2. Are there parallels between operational definitions in research and the clinical documentation required of caregivers? Explain.