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