True/False
Your resident does not have a DX of PCM. They do have documented poor po appetite, weight loss, and dx of adult failure to thrive. You cannot code PCM on the MDS assessment.
False: Just being "at Risk" allows you to code the check box in section I of the MDS Assm.
When should the MDS pain assessment be done?
It is recommended to be completed the day before or the day of the ARD BUT it can be completed any day during the 5 day look back period.
How many Skilled Documentation in-services should you have already planned for the month of September?
one for each shift
Your resident is admitted with a dx of COPD, what assessment, if positive, would increase reimbursement to Special Care High?
SOB lying flat
Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.
Substantial/maximal assistance
STAFF DOES MORE
MDS is not responsible for initiating Skilled Charting.
False, MDS needs to initiate skilled charting for a new admit right away.
When should the Physician Cert be signed initially?
It is recommended to be within 72 hours of admission. The first recertification should never be done later than 14 days of admission.
What score do we need on the PHQ9 to capture Depression on the MDS?
10 or more
Your resident admitted on 9/5 and you noticed he received IVF on 9/1. When should you schedule the 5day ARD?
9/7, In order to capture IVF, they must be received within the past 7 days.
Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity.
Supervision or touching assistance
You should write the date on the Phys Cert to make sure all certs are not signed late.
False, if the cert is not signed and dated by the Physician it will not be a valid cert
When should the LOCD be completed?
The day of admission
It is ordered to apply a transdermal fentanyl patch Q72 hrs. During the look back period, it was applied 2 times as ordered. How many days would you code that an opiod was administered for this resident in section N
2 Days
You have generated this HIPPS code for your 5 day
MAGC
You notice NaviHealth has approved HIPPS
MAGD
What should you do?
You should contact NH and send them all the information regarding your NTA component. You have more NTAs captured than NH has approved.
Helper does LESS THAN HALF the effort. Helper lifts, holds, or supports trunk or limbs, but provides less than half the effort
Partial/moderate assistance
Patient does more=Part/Mod
You should review and resolve Dx codes with every OBRA assm.
TRUE
Census line: Payer change
Medicaid 9/10
Medicare A 8/4
When would you schedule END of PPS?
End of PPS ARD 9/9/21
A resident went to the hospital with a facility acquired stage 3 p.u. and returned with a stage 3 p.u. that had increased 2 cm in both length and width. How would you code this pressure ulcer?
Present on admit or Not present on admit?
Not present on Admission due to the worsening of the pressure ulcer.
Your 5 day assm has generated this HIPPS:
JAMF
You notice NaviHealth has approved HIPPS:
JDMF
You do not match in Speech. There is no need to request NH to match you. They have approved a higher CMG in the speech component.
During triple check bill JDMF to match NH
EATING: I am NPO and require nursing to administer my TF every time. What am I?
9 Not applicable (if did not perform this activity prior to this current illness)
88 Not attempted due to medical condition or safety concerns (if did not require TF prior to current illness)
Eating: The ability to use suitable utensils to bring food and/or liquid to the mouth and swallow
John is 42 yrs old and receives dialysis due to DX of ESRD. You noticed admissions has Medicare A as his primary payer. You should notify them right away that John is not old enough to receive Medicare A benefits.
False, John would qualify for Med A benefits due to his Dx of ESRD
Generally, Medicare is available for people age 65 or older, younger people with disabilities and people with End Stage Renal Disease (permanent kidney failure requiring dialysis or transplant). HHS.gov
When should MDS have a new admit completed?
Ie; Entry, Dx codes entered, add to PDPM board, add to Phys cert log, initiate skilled documentation ect
This should be completed the day they arrive unless they admit in the evening. Then your admissions should be completed the next morning.
Where would you capture an NTA point for being "at risk" for Protein Calorie Malnutrition?
In section I, it is a check box that you need to check.
It looks like your resident was dehydrated and receiving IVF in the hospital. You do not have sufficient documentation for the last 5 days of their stay in the hospital. What should you do?
Send an email to admissions to request this documentation. Your administrator should be aware that you believe we are losing reimbursement due to lack of documentation.
I usually require 75% assist from 2 care givers. What am I?
Dependent
Helper does ALL of the effort. Resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the resident to complete the activity.