What's my function?
A set of 17 items that assess the need for assistance with self-care and mobility, prior function, d/c goals and d/c function in the same areas.
What is GG function scores?
This is considered skilled care.
What is 5 days a week of ordered therapy or 7 days a week of skilled nursing?
A 9-question tool that results in a severity score of 1 to 27
What is the PHQ-9?
This date is utilized for coding therapy start date after an interrupted stay.
What is first therapy resumes?
The interdisciplinary team collaborates to determine this key factor affecting multiple components of the PDPM components.
What is ICD10 code? (diagnosis)
Physical performance for mobility and self-care helps establish this.
What is treatment goals?
(from RAI: Knowledge of the resident’s functioning prior to the current illness, exacerbation, or injury may inform treatment goals)
A patient discharges unexpectedly following a doctors appointment. This is the appropriate beneficiary notice process.
What is to issue a NOMNC today with a last covered day 2 days ahead and indicating that notice was waived by the beneficiary for managed care? What is a note indicating an unexpected discharge for a medicare patient?
This tool helps determine the resident’s attention, orientation and ability to register and recall new information.
What is the BIMS? (Brief Interview for Mental Status)
This must be done for Rehab Optima to accurate track interrupted stays.
What is correct entry in PCC to show interrupted stay and DOR/DCC entering skip day on days out of center?
This an appropriate time to use an aftercare Z-code for hip replacement.
What is a patient with severe osteoarthritis? (use Z-codes for elective surgery)
My usual performance for self-care and mobility is assessed minimally at what 2 3 day windows?
What is admission and discharge?
(5Day assessment)This functional assessment must be completed within the first three days (3 calendar days) of the Medicare Part A stay, starting with the date in A2400B, Start of Most Recent Medicare Stay, and the following two days, ending at 11:59 PM on day 3.
For the Discharge assessment (i.e., standalone Part A PPS or combined OBRA/Part A PPS), code the resident’s discharge functional status, based on a clinical assessment of the resident’s performance that occurs as close to the time of the resident’s discharge from Medicare Part A as possible. This functional assessment must be completed within the last three calendar days of the resident’s Medicare Part A stay, which includes the day of discharge from Medicare Part A and the two days prior to the day of discharge from Medicare Part A.
(An optional IPA can be performed.) The ARD for the IPA is determined by the provider, and the assessment period is the last 3 days (i.e., the ARD and the 2 calendar days prior).
To capture NTA points associated with a primary diagnosis, this is the coding consideration.
What is coding an NTA diagnosis in section I below I0020B?
Cognitive impairment is demonstrated with a BIMS score of this.
What is 12 or less?
What is contact CRS and wait to determine if interrupted stay policy is valid?
This is the effect of coding Section J codes ending in 99 and J5000 to the primary diagnosis clinical code.
What is no effect to the primary diagnosis clinical code? (and essentially loss of surgical code benefits)
This 10 item assessment scores my need for assistance with ADL's, gait, balance and ROM.
What is section G?
This key element is critical to identifying the skilled UDA.
What is the primary diagnosis?
This score indicates the resident care plan must address depression. This score may also be a factor in increasing the nursing component in CMI.
What is PHQ9 score of 10 or greater?
This OBRA assessment schedule process remains unchanged with the CMS interrupted stay policy.
What is DC assessment?
This resident is coded SJ for SLP group. This area should be checked for accuracy in coding.
What is MDS section K for swallowing and diet?
This function assessment impacts payment group categories for therapy and nursing.
What is GG?
The number of items on the MDS/RAI that is utilized for tracking reimbursement
161 (it was 20 prior to PDPM)
Two ways SLP can increase accuracy of cognitive assessments.
What are BIMS completed with ST eval or RNAC interviewing ST when staff interview is required to complete BIMS?
These 3 factors should be considered before scheduling and IPA following and interrupted stay for a patient in the orthopedic category.
What is loss of surgical coding, change in function score and change in nursing component?
This resident falls into a TB group for PT/OT and the nursing group of PBC1. This area should be checked for inaccurate coding.
What is surgical wound in section M?