Compliance
New hire compliance training is completed by...
What is 30 days?
Acronym for ANE
What is Abuse, Neglect, and Exploitation
What is MDCP modifier?
U6
Top 3 reasons to visit a patient
Hospitalized past 24 hours, complaints, red family
Acronym for QAPI
What is Quality Assurance and Performance Improvement?
Existing employees need to have compliance due by when?
What is March 31st
Sentinel Event
What is an incident requiring patient to seek care higher than available in the home.
What is a high tech modifier?
UA
2 reasons to call family proactively
Anniversaries/milestones, wellness call and birthdays
Frequency of QAPI
What is Quarterly
True or False: Incomplete complete compliance is a hard stop.
What is true?
3 common types of sentinel events
What is Fractures, death, anoxic brain injury, med errors, neurological injury, paralysis
Components of a valid respite order
What is total hours per certification, start date, physician signature?
How do we greet guests walking into location?
Get up, shake hands, offer refreshments.
Name at least 3 things we track in QAPI
Infections, hospitalizations/ ER visits, incidents, complaints, injuries,
Timely filing limit
95 days
(90 days)
Time frame to complete all necessary reports
What is 24 hours? CMIT, ITI, CPER
Forms in an authorization packet
POC, Order, CCP, (MARS, Notes, MD visit notes)
True or False: It's okay to answer the phone on the 4th or 5th ring
What is False: 2 ring rule
Name 3 pages of the nursing data log
Things needed to bill appropriately
Signed POC and current authorization, hours worked, hours billed, (if rounding to nearest quarter hour)
Name a agency or report that needs to be completed for a patient event
What is Tulip report, CMIT, Sentinel Event, interview tool?
Order of auth packet
Superior Form if applicable, CCP forms 2023, POC form (POC and order signed and unsigned),Goals, summary (section 3) 24 hour log signature page 6 month sheet, 6 month signature pg. (2 weeks MARS, notes) MD visit notes
Appropriate time frame to return a missed call while on-call
What is 30 min?
3 categories were documentation gets cited
G-tube, assessment, respiratory, Visits, Wound care, Other (Physician notification, drug interactions, visit frequency changes, orthotics)