Compliance & Ethics
Transfers and Discharges
Bed-hold, Room Transfers
Trauma Informed Care
PDPM
100

Some employees may accept gratuities or kickbacks.  True or false? 

False

100

When should Discharge Planning begin in the resident's stay in the facility? 

Upon admission. 

100

When do we notify a resident/representative for a room transfer?

Prior to the room change. 

100

What is trauma? 

Results from an event, series of events or set of circumstances that is experienced by an individual that has lasting adverse effects. 

100

When does PDPM become effective in our industry?

October 1, 2019

200

A resident made a previous request to not disclose their information to their kids.  The resident is transferred to the acute hospital.  Their daughter calls to ask what hospital their mother transferred to.  How should the facility handle the question?

We will not disclose where the resident was transferred to.  

200

IDT Discharge Planning Observation in Matrix is to be completed by?

Ideally within 48 hours from admission.  

200

Can we continue billing MediCal for a bed-hold if a facility discovers that a resident was admitted to another SNF?

No. 

200

What is the best thing to do first to care for residents who suffer from trauma?

Know your residents.

200

What does the acronym PDPM stand for?

Patient Driven Payment Model

300

Intentional violations of the False Claims Act, Anti-kickback Statue, and HIPAA laws may result in? 

Fines and possible jail time.  

300

Which departments can complete the Discharge Plan Care Plan and within what time-frame?

Social Services and Nursing. To be completed within 48-hours of admission. 

300

Only residents who have MediCal will be put on a 7-day bed-hold.  True or false? 

False.  Regardless of payer source, residents/representatives will be informed in writing of the bed-hold and return policy prior to transfers and therapeutic leaves.  

300

Name at least two departments in your facility who should be highly involved in Trauma Informed Care. 

Social Services, Activities, Nursing, Therapy, etc. 

300

How many MDS Assessments are required for payment for PDPM?

1 - 5-day MDS

(Part A PPS Discharge MDS does not control payment and the IPA is optional)

400

If an employee is on the clock and is showing obvious signs of being high on an illegal substance, what should happen to the employee?  

Termination.  

400

How often should the discharge plan be re-reviewed?

At least quarterly and upon significant changes. 

400

Who must be notified of a room change?

1) Resident

2) Resident Representative

3) Roommates

4) Roommates' representatives

400

There are 4 aspects for Trauma Informed Care.  Name at least one of them.

Biological, Psychological, Spiritual, Social/Behavioral

400

How many components are calculated into the scoring for reimbursement Levels?

5

(PT, OT, SLP, Nursing, NTA)

500

How much is the fine for violating the Anti-kickback Statute?   

$25,000

(plus jail time)

500

What is the definition of Discharge Planning? 

(Must include all 3)

1)  Identifying each resident's discharge goals and needs

2)  Developing and implementing interventions to address them

3)  Continuously evaluating them throughout the resident's stay to ensure a successful discharge

500

When is the Bed-hold Notification Form completed?

Upon admission AND upon transfer. 

500

Just like with any particular resident, as clinicians, what do we need to do to properly care for residents who suffer from trauma?

Individualized, resident-centered care.

500

On the ICD-10 Mapping Excel File from CMS, what is the term for ICD/diagnosis that will not be paid/reimbursed?

Return to Provider

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