CAU Core
CAU Supplementals
CPU Core and CPU Supplementals
RAC
SCP and Exclusions
100

This is needed for CAU Core 8 family/friend caregiver along with a person's name, relationship

What is contact information

100

This is the number of IADL's that need to be assessed

What is 4. Remember: If a blanket statement is used, such as "Member needs assistance with IADL's" we can accept that as compliant without the components being individually listed.

100

For CPU Core 9, this also needs to be documented along with the member signature if it is not a verbal agreement

What is the date it was signed

100

RAC is a reassessment of what 2 measures

What is CAU Core and CPU Core

100

True or False: For SCP, it is valid to use evidence that a transmission of the care plan was sent to a facility.

What is False: Transmission to a facility and not a provider is never valid and should not be abstracted

200

True or False: A diagnosis of depression documented on a PHQ 2/9 form and the form is left blank, this is acceptable and meets for CAU Core element 5

What is False: Depression alone does not justify a blank tool and this is not valid for abstraction

200

True or False: A statement that the member quit drinking over 10 years ago can be used for CAU Supplemental 11. 

What is False: CAU Supplemental 11 needs to be reported using a standardized tool.  Free text is not valid for abstraction  

200

This is the number of CPU Supplemental elements that need to be abstracted for a member to be compliant

What is 4

200

This is the timeframe that a re-assessment needs to be completed post hospital discharge

What is 30 days

200

How many failed attempts to contact the member has to be documented to have a valid exclusion

What is 3

300

CAU Core 4 and 5 must be done on one of these

What is a tool

300

This element is used to screen for risk of falls, including whether the member has a history of falls or a problem with gait or balance. 

What is CAU Supplemental 10.

300

This can be used if you don't have an Emergency Plan to meet CPU Core 7

What is Case Manager Contact Information

300

True or False: While Abstracting/Overreading an RAC assessment, "No Change" is acceptable to be abstracted.

What is False. The documentation of "No Change" is not acceptable for abstraction and can not be used.

300

True or False: For SCP, the entire care plan must be transmitted for it to be valid

What is False. It is not necessary to transmit the entire care plan to meet numerator criteria. LTSS organizations may select the most relevant parts of the plan or provide a plan summary.

400

True or False: A diagnosis of depression documented on a PHQ 2/9 form and the form is left blank, this is acceptable and meets for CAU Core element 5

What is False: Depression alone does not justify a blank tool and this is not valid for abstraction

400

This is the total number of CAU Supplemental elements

What is 19. There are 19 total but only 12 need to be abstracted to make the member compliant

400

True or False: For Member Goals, CPU Core 1, it is valid to abstract documentation that is auto generated based on the patient's conditions.

What is False: Goals that are automatically generated based on the patient's conditions or risk factors do not count.

400

How many supplemental elements are needed for RAC to be compliant?

What is zero. RAC is the reassessment of CAU Core and CPU Core only. There are no supplemental elements. 

400

This is what you would do if you have documentation that states "Member declines to share services plan with any other parties at this visit"

What is propose an Exclusion

500

When meeting with an established member, this is the timeframe that an assessment needs to be done in.

What is any time during the measurement year.

500

True or False: Member wears glasses due to impaired vision can be used for CAU Supplemental 2, current use of assistive device.

What is False: For CAU Supplemental 2, the use of assistive device is specific to devices used to maintain or improve mobility such as a cane or walker.

500

This can be used as evidence that the member does not have a cognitive impairment and that no plan is needed for CPU Core 4?

What is the Tool or Question Set that was used for CAU Core 4 with a negative result. You will document the page number that was abstracted for CAU Core 4.

500

If a member is discharged after this date, we would exclude the member from RAC

What is December 1st

500

This is the time frame that transmission must occur in for SCP to be compliant

What is 30 days.

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