CMI STRATEGY
Which rug is higher?
Supportive Documentation
MISC
Name that RUG!
100

A 5 day and Discharge Assessment can be combined.

(True/False)

What is True?

100

Number of allowable days to set an ARD of a 5 Day PDPM assessment.

What are the first 8 days of the stay?

100

Name the two questions on Section K that impact the speech component

What are Swallowing Disorders and Mechanically Altered Diet?

100
What are the 2 outlier nursing function scores that can result in a rug no higher than clinically complex?

15-16

100

Nursing Function Score 11

Isolation for active COVID Infection/single room droplet isolation with all care and services provided in room

ES1


200

This section of the MDS determines the functional score

What is GG?

200

Timeframe that constitutes an Interrupted Stay.

What is 12am of the 3rd day?

200

Maximum number of points that can be accumulated in the Non-Therapy Ancillary Component

What is 12?

200

PHQ2-9 Score required to capture depression end-split

10 or higher

200

COPD AND SHORTNESS OF BREATH WHILE LYING FLAT

PHQ2-9 SCORE 12

NURSING FUNCTION SCORE 16

CA2
300

MDS Question for Primary Diagnosis

What is I0020B?

300

Allowable ARD dates for the required IPA during the transition from PPS to PDPM.

What are October 1st through 7th?

300

Amount of therapy that can be done in group or concurrent sessions

What is 25%?

300

Return to Provider means this

What is a diagnosis that is not acceptable for payment in PDPM?

300

Nursing function score 14

BIMS 6

Two Qualifying Restorative Programs with both at least 6 days a week

BA2

400

An IPA can be combined with a quarterly assessment. (True/False)

What is False?

400

Date that payment changes with an IPA

What is on the ARD of the IPA?

400

Name the 5 components of PDPM

What are Nursing, PT, OT, SLP and Non-Therapy Ancillary?

400

According to the RAI Manual this is the definition of Major Surgery

What is surgery that carried some degree of risk to the resident's life or had the potential for severe disability with an inpatient stay in an acute care hospital?

400

Dx Parkinson's disease is active

Nursing Function Score 12

PHQ2-9 = 0

PBC1

500

Name the 3 MDS assessments in PDPM

What are the 5day, IPA and Discharge?

500

Look back period of Section GG on an IPA.

What are the 3 days preceding the ARD?

500

Name the 2 of the 4 Clinical Categories in the PT and OT component

What are Major Joint Replacement, Other Orthopedic, Medical Management or Acute Neurologic?

500

Number of RUG Groups within the Nursing Component

What are 25?

500

Returned from hospital yesterday 

Nursing Function Score = 5

PHQ2-9 = 10

Received IV fluids for documented hydration purposes while in the hospital (2 days ago)

HDE2

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