MDS 101
Resident has a indwelling foley catheter during the 7 days lookback. How do you code urinary incontinence.
What is not rated.
In order to achieve a NTA Case Mix Group score of NA, the NTA score range must be
What is 12+ (Let's get this)
Last ARD 2/22 RUG SE2. ADL score is a 10. Therapy wants to capture a Rehab RUG on 4/7. Do you set the ARD
What is NO!
Resident Admits s/p ORIF r/t L Hip fx without complications. Which ICD10 is appropriate for the principle dx. S72.92XA, S72.92XD, S72.92XG, Z47.89
What is S72.92XD
Resident Admits 4/1 Part A Medicare. The Admission Certification has been signed. When must the recertification be signed
What is on or before day 14 of the stay.
How many OBRA assessments MUST at least be completed in a calendar year to be compliant with OBRA schedule and timing per the RAI manual?
What is at least three Quarterlies and a Comprehensive assessment.
UTI in the last 30 days must satisfy these 3 requirements to code on the MDS
What are:
1.Meet McGreer's criteria or (NHSN/Loeb)
2. Physician has documented the UTI
3 UTI dx while hospitalized inpatient
SLP comorbidities include all of the following except, Aphasia, TBI, Malnutrition, Oral Cancers
What is Malnutrition
New Admit 4/26. Had IV fluids thru 4/23. IV meds thru 4/20. O2 thru 4/19. ADL Score is a 7 on 4/29. Routine Nebs start 4/28 in house. Therapy Evals and needs a ARD of 5/4 to capture Rehab RUG, ADL's now 14. Choose the appropriate ARD.
What is 4/29
The three exclusion Dx for a rsd that is on an antipsychotic to prevent triggering on the building 5 star quality measure rating.
What are Schizophrenia, Huntington's, Tourette's
The NOMNOC/SNFABN must be issued no less than _______hrs or _______days prior to the end of the stay
What is:
1. 48 hours
2. 2 days
A rsd was placed on Hospice over a year ago and has rebounded and is thriving in the facility. The family determines that Hospice services are no longer needed and the rsd comes off of Hospice. The coordinator is going to set what assessment?
What is a Significant Change Comprehensive assessment.
How do you code Section N for Remeron in the 7 day look back period when being used for a Appetite Stimulant
What is Antidepressant. Need a Care Plan as well.
PT/OT Clincial category of Major Joint Replacement or Spinal Surgery with a GG Function score of 8 gives you a PT/OT Case Mix group of TA, TB, TC, TD
What is TB
BC1 days give you this CMI score
What is: Default 0.48. (Not a fan)
A rsd has an indwelling Foley Catheter during the ARD lookback period. Foley Catheter Dx exclusions include?
What are Neurogenic Bladder and Obstructive Uropathy
The resident is cut from Medicare A prior to exhausting and will remain in the facility LTC. These forms must be completed
What are:
1. NOMNOC
2. SNFABN
The QRP threshhold percentage must be ____ or greater to avoid losing 2% of the facility's market basket.
What is 80% or greater
Mrs. G's Stage III pressure ulcer healed during the 7 day look back period. How would section M be coded
What is the pressure ulcer should not be coded.
How would the IDT team change the Part A Medicare rate during a stay after the 5day is completed
What is complete a IPA.
If IV fluids is marked on the assessment you automatically get this many ADL's points for eating
What is 3
You have a rsd that has an active infection Dx of HIV/AIDS. Do you as a coordinator code that on your assessment?
What is no. The Dx of HIV/AIDS gets coded on the UB by the BOM.
Mr. S is cut from Med A after using 35 days on 2/1. He has remained at a non-skilled level since being cut. On 3/8 he is discharged to the Hospital and has a 3 day qualifying stay. Can you pick him back up on Part A upon return and if so how many days will he have remaining
What is:
1. Yes
2. 65
I am going to say three words to you on the BIMS assessment
What is sock, blue, and bed
In order to code "Fever" in section J1550A, the resident's temperature must be ______ above baseline or ______on Admission
What is:
1. 2.4
2. 100.4
A Tracheostomy with a Function score of 12 puts a resident in this Clinical Category and Nursing Case Mix Group
What is:
1. Extensive services
2. ES2
For Restorative End Splits these programs only count as one program: Scheduled Toileting, Bowel & Bladder programs, AROM/PROM, along with one other
What is Bed Mobility/Transfers
A rsd admits to the facility with multiple billable diagnoses including an active infection Dx that was treated and resolved in the hospital. Would you pick the active infection Dx as the primary Dx?
What is no unless infection was active during the ARD 7-day lookback period for the initial MDS assessment.
Mrs. T Admits Part A on 5/1 and DC's out to the Hospital return anticipated on 5/6, returns from the Hospital on 5/8. This Assessment type would be used
What are:
1. NP/5day
2. Discharge return anticipated
3. Interrupted stay and they will not require a new 5day but monitor for IPA for IV fluids, etc.