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MEDESUN Digital Medical Coding Library

POA & HAC Medical Coding Textbook – FY 2027

Strengthen inpatient coding decisions with a focused guide to Present on Admission (POA) indicators, Hospital-Acquired Conditions (HACs), diagnosis documentation and CCS®/CDIP® exam preparation. Learn how the two reporting concepts relate without treating them as interchangeable.

FY 2027 · ICD-10-CM

POA & HAC Concepts

CCS® / CDIP® Exam Prep

Inpatient Documentation

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Read the POA & HAC Medical Coding Textbook Online

Read the published MEDESUN flipbook in the viewer below. If the reader does not appear in your browser, use the direct Publuu link.

Who is this resource for?

CCS® and CDIP® exam candidates
Hospital inpatient ICD-10-CM coders
Clinical Documentation Integrity (CDI) specialists
Coding quality reviewers and inpatient auditors
Learning guide

Core POA & HAC Coding Skills

POA Indicator Selection
Distinguish Y, N, U, W and exempt assignments based on documentation and applicable coding guidance.
1
Admission Timeline Review
Determine whether a diagnosis was present at the time of the inpatient admission order, including conditions recognized later.
2
Hospital-Acquired Conditions
Understand HAC reporting concepts and why a POA value alone does not determine whether a condition falls under a specific CMS HAC program.
3
Inpatient Documentation
Review physician notes, discharge summaries, clinical evidence and the need for clarification when documentation conflicts.
4
HAC, POA & Quality Reporting
Differentiate diagnosis coding, POA reporting, HAC payment policy and hospital quality measures rather than conflating them.
5
CCS / CDIP Case Practice
Build case-based reasoning for inpatient code assignment, compliant documentation review, sequencing and audit checks.
6

FY 2027 coding note: Use the official ICD-10-CM guidelines, current POA-exempt list and CMS HAC policy documents. POA reporting and HAC payment/quality programs involve different criteria; an N indicator does not automatically mean a condition is a reportable HAC.

Learn beyond the book

Build Stronger Inpatient Coding & CDI Skills

Use this textbook to improve practical understanding of POA and HAC concepts, and explore MEDESUN’s medical coding and CCS-focused training programs.

Official coding references

Verify Codes with Authoritative Sources

MEDESUN is an independent training provider. Educational examples do not replace official program, code-set, or payer-specific instructions.

Request course information

Enquire About CCS & Inpatient Coding Training

Looking for training in inpatient diagnosis coding, POA/HAC reporting or CCS/CDIP-aligned concepts? Contact MEDESUN for current course details.


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