All Things PDPM
Major joint replacement/spinal surgery, other orthopedic, medical management, non-ortho surgery/acute neurologic.
What are the clinical categories under PDPM?
Acute neurologic condition, SLP related comorbidity, cognitive impairment, mechanically altered diet, and presence of a swallowing disorder.
What are the clinical categories under ST CMG?
Needs to be completed by Day 3 in order to capture GG items.
What is the POC?
Group and concurrent can only be provided for this amount of time for each discipline.
What is 25%
Clinical condition of stay, extensive services, restorative, functional scores, and depression.
What are the Nursing CMG components?
Section C, Section GG, and Section K.
What are the sections of the MDS that are therapy driven?
The total number of SLP case mix groups?
What is 12?
The number of CMGs for PT/OT?
What is 16?
The 3-day period starting with the calendar day of discharge and including the 2 immediately following calendar days, ending at midnight.
What is an Interrupted Stay?
Consists of 25 different clinical categories.
What is the total number of Nursing PDPM component?
This optional assessment is completed when there is a significant clinical change in a patient's condition that may change the patient's initial PDPM classification.
What is the Interim Payment Assessment (IPA)?
Speech and Language Deficits, Oral Cancer, Laryngeal Cancer, Dysphagia, Apraxia, and ALS.
What are the SLP ICD-10 Comorbidity Crosswalk Categories?
The clinical category that has the highest case mix index?
What is Major Joint Replacement?
Restorative nursing program must by completed by this day in order to capture it as part of the PDPM
What is by day 3 of admission?
The number of restorative nursing programs needed for nursing to capture it on the MDS.
What are 2?
Principal medical diagnoses that cannot be used.
What are "return to provider" ICD-10 codes?
The 2 ST RNP program that supports the nursing CMI index under PDPM.
What are Swallowing and Communication?
These areas need to be treated daily in addition to additional functional deficits and underlying impairments.
What are the GG items for PT and OT?
This determines the amount of time per day that is appropriate for the patient for each discipline.
What are the underlying impairments and established goals on the POC?
The two case mix indexes that do not include therapy input.
What are the Non-Therapy Ancillary (NTA) and Nursing case mix indexes?
6 of 12 different type of restorative programs that can be written by therapy.
What are ROM (active/passive), splinting, bed mobility, transfers, walking/ambulation, dressing/grooming, eating/swallowing, amputation/prosthesis care, communication, urinary toileting program, and bowel program?
The CMG that has at least 2 out of 3 ST indicators and a mechanically altered diet.
What is SH?
The 10 Section GG items that determine the PT/OT function score.
What are eating, oral hygiene, toileting hygiene, sit to lying, lying to sitting on side of bed, sit to stand, chair/bed-to-chair transfer, toilet transfer, walk 50 feet with 2 turns, and walk 150 feet?
The 6 components of payment for PDPM.
What are PT, OT, ST, NTA, Nursing, and Non-Case Mix?
These areas need to be documented in the daily note if any therapist observes it during a therapy session.
What are depression symptoms, any change in condition, and pain status?