MDS
I8000
What is the section of the MDS that captures additional diagnoses?
The 6 PDPM rate components
What are PT, OT, ST, Nursing, NTA's and Non-Case Mix Adjusted?
The 4 PT/OT Clinical Categories
What are Major Joint Replacement or Spinal Surgery, Other Orthopedic, Medical Management and Non-Orthopedic & Acute Neurologic?
End Splits
What are Depression and Restorative Nursing?
Will only be required for Managed Care patients
What is the UR Meeting?
PHQ9
What is a screening tool for indicators of depression?
Not subject to variable per diems
What are the ST and nursing components of the PDPM rate?
Used to guide the therapists in treating patients with specific conditions
What are clinical pathways?
Shortness of breath while lying flat
What when coded on the MDS along with COPD, places a patient in the Special Care High Category?
Nursing Leadership, MDS Coordinator, Social Services and Therapy
Who are required attendees to the new morning clinical meeting?
BIMS
What is the Brief Interview for Mental Status (used to screen for cognitive impairment)?
Interrupted Stay Policy
What applies when a patient is discharged and returns before 3 midnights?
Begins on day 21
What is the Variable Per Diem 2% reduction in the OT/PT rate every 7 days?
7 points
What is TPN high?
Should be done by IDT by day 3 after admission
What is select and schedule Condition Driven UDAs for the patient's most important clinical needs?
Required Assessments for a Medicare patient with a 30 day LOS.
What are the Initial Medicare Assessment, OBRA Admission Assessment and End of PPS Stay Assessment?
Used, in addition to diagnoses, to calculate PT, OT and Nursing CMI scores
What is the Function Score (from GG)?
I0020B
What is the MDS question that captures the primary diagnosis and determines the PT/OT clinical category?
Claims Based NTA
What is HIV/AIDS?
By the ARD of the IMA.
What is determine Primary Diagnosis/reason for stay and enter/rank diagnoses in PCC?
When an IPA is required
When is October 1, 2019? (The transitional IPA required to set the payment for all in-house patients.)
Used to determine the individual center's base rates
What are urban and rural designations?
25% and 2-6
What are the group requirements? (maximum allowable amount of group AND concurrent therapy COMBINED; the allowable number of patients per group)
Do this when a patient with COPD is dependent on oxygen
What is query the physician for diagnosis of chronic respiratory failure?
Collaboration and Communication
What it most important part of the CCR plan to ensure success under PDPM?
4 things you'll do when you get back to your centers to further prepare for PDPM?
What are....?