PT/OT Basics
What two things determine the PT/OT PDPM group?
Clinical category + Section GG functional score.
Independent generally converts to how many PDPM functional points?
6
Name the three main SLP factors.
Acute Neurologic condition, SLP-related comorbidity, and cognitive impairment.
What score on the BIMS indicates a cognitive impairment?
12 or below
A resident eats their entire meal independently after the tray is placed within reach. What GG score should be recorded for eating?
05 – Setup or clean-up assistance
What is the PT/OT functional score range?
0–24.
Partial/moderate assistance converts to how many points?
3
What two additional issues are checked for SLP classification?
Swallowing disorder and mechanically altered diet.
What is unique about the NTA in the 1st 3 days?
Score Triples
A resident walks 10 feet independently without verbal cues, touching assistance, or physical help. What is the GG score?
06 – Independent
A Medical Management patient has a GG score of 8. What is the PT/OT group?
TJ
Dependent converts to how many points?
01
Zero SLP factors + neither swallowing issue nor altered diet = what group?
SA
What 3 items that make up the 6 areas of payment for PDPM have a variable per diem adjustment?
PT, OT and NTA
A resident transfers from bed to chair while the therapist stands nearby and gives verbal safety cues but does not physically assist.
04 – Supervision or touching assistance
A Major Joint Replacement patient has a GG score of 15. What is the PT/OT group?
TC
Does a higher Section GG functional score mean the patient is more or less independent?
More independent
Two SLP factors + either swallowing disorder or altered diet = what group?
SH
How many days can the facility allow a Medicare A patient to be at the hospital during his stay before a new case has to be started and how is this set in net health?
3 - Uncovered Day
During a sit-to-stand transfer, the resident performs most of the effort, but the therapist provides some lifting assistance.
03 – Partial/moderate assistance
An Acute Neurologic patient has a GG score of 4. What is the PT/OT group?
TM
A patient has a GG score of 12 and is Other Orthopedic. What PT/OT group do they fall into?
TG
Three SLP factors + both swallowing disorder and mechanically altered diet = what group?
SL
How many assessments are completed for a Medicare patient under the PDPM payment?
1 - Unless an IPA needs to be completed
A resident cannot demonstrate stair climbing because the facility does not have access to the equipment or environment needed to assess it.
10 – Not attempted due to environmental restriction