MDS Jeopardy

Active Diagnosis

100

MDS ARD 9/10/25. Physician progress note lists the following: HTN, HLD, Asthma. MAR for Sept look back indicates resident is taking 25mg metoprolol, SOB flat r/t Asthma, and an inhaler used. Which diagnosis codes would you code on the MDS?

HTN and Asthma. Hyperlipidemia not active per RAI- no treatment/monitoring. 

200

Resident admitted 1/1/25 Medicare A for a left hip fracture s/p ORIF, required therapy services until 3/2/25. Ended up staying in facility LTC. Resident is due for a quarterly 7/2/25. Resident is no longer on therapy, full weight bearing status, requires assist with ADLs per her baseline, no pain, no longer following up with ortho. Would you code Hip fracture in section I?

No. Not active per this assessment look back. 

300

What is the look back for a UTI?

30 days

PDPM

100

Name an NTA point.

100 points to all teams with a correct answer. 

200

Resident admitted to the facility following acute respiratory failure, new oxygen, COPD exacerbation, HTN, diabetes. What are some items that contribute towards PDPM? What should we do to make sure we have documentation for the MDS?

Respiratory failure (NTA pt and NSG CMG with oxygen), oxygen (NSG, NTA), COPD (with SOB flat order). Should enter SOB flat monitoring order. 

300

In what situations could you adjust the ARD to maximize reimbursement through PDPM? (only need to list 1 to get points) 

1. IV fluids administered in the hospital

2. Diabetes with 7 days of insulin and 2 order changes

Medications

100

MAR lists metoprolol, melatonin, Hydroxyzine, tylenol given during the look back of your MDS. What is coded in section N?

None of the above. 

200

Resident MAR for your look back includes albuterol inhaler q6 hrs, lasix, metoprolol, trazodone. What medications are we coding in section N?

Diuretic, & Antidepressant. 

Skin and Wounds

100

Resident initial skin assessment indicates skin is intact. On day 3 of admission a stage II pressure ulcer to coccyx is documented in skin/wound. How do you code section M?

Stage II pressure ulcer: 1

Number of pressure ulcers present on admission: 0 

200

Skin and wound picture/assessment states a wound was present on admission. The last MDS in June the wound was coded at stage II, the UDA also list the wound as stage II. The current assessments stage the wound as stage IV? How do you code the wound for the September MDS?

Stage IV, not present on admission. 

QMs

100

What triggers a resident for short stay antipsychotic? 

A resident who has been in the facility for less than 100 days, no diagnosis of schizophrenia, Huntington's or Tourette's, and did not have an antipsychotic coded on their initial MDS but was later coded as taking antipsychotic on a DC, Quarterly, end of PPS assessment. 

200

How many days do you have to wait to complete another assessment to remove a resident from ADL decline?

45 days