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 Present on Admission (POA)

Present On Admission (POA) is defined as present at the time the order for inpatient admission occurs. Conditions that develop during an outpatient encounter, including emergency department, observation, and outpatient surgery, are considered POA.

The Deficit Reduction Act of 2005 requires a quality adjustment in diagnosis related group (DRG) payments for certain hospital-acquired conditions. Texas Medicaid has adopted rules that cover reimbursement denials and reductions for preventable, adverse events that occur in a hospital setting in accordance with the Texas Health and Safety Code, Chapter 98.

The rules impose the same reimbursement denials and reductions for preventable adverse events that the Medicare program imposes for the same types of health-care-associated adverse conditions. The rules also impact the same types of health-care providers and facilities under Medicare’s “Hospital Acquired Conditions and Present on Admission Indicator Reporting” policy, which was adopted by the federal Centers for Medicare & Medicaid Services (CMS).

Additional information about Medicare POA can be found on the CMS website at www.cms.gov/HospitalAcqCond/06_Hospital-Acquired_Conditions.asp.

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