General Knowledge and Resources
The day of the week and time of the day you need to get your timesheet in by
What is 5:00pm on Friday.
This is needed for CAU Core 8 family/friend caregiver along with a persons name, relationship
What is contact information
This is the number of CPU Supplemental elements that need to be abstracted for a member to be compliant
What is 4
RAC is a reassessment of what 2 measures
What is CAU Core and CPU Core
True or False: For SCP, it is valid to use evidence that a transmission of the care plan was sent to a facility.
False: Transmission to a facility and not a provider is never valid and should not be abstracted
This is where we can post general questions
What is the MY 2024 LTSS Team channel
This is the number of IADL's that need to be assessed
What is 4
This can be used if you don't have an Emergency Plan to meet CPU Core 7
What is Case Manager Information
This is the timeframe that a re-assessment needs to be completed post hospital discharge
What is 30 days
How many failed attempts to contact the member has to be documented to have a valid exclusion
What is 3
This is where you locate the official measure Technical Specifications
What is the Education and Training Resource center
When there is documentation that states the member is retired, what element does that meet
What is CAU Supplemental 18
True or False: For Member Goals, CPU Core 1, it is valid to abstract documentation that is auto generated based on the patient conditions.
False: -Goals that are automatically generated based on patient conditions or risk factors do not count.
This is the system that will give you the date range to find the appropriate assessment to abstract from
What is QMRM
This is what you would propose if you have documentation that states "Member declines to share services plan with any other parties at this visit"
What is an Exclusion
True or False: You can print out your Technical Specifications so that you have a hard copy.
False: You are not allowed to print out any form of proprietary documents
True or False: A diagnosis of depression documented on a PHQ 2/9 form and the form is left blank, this is acceptable and meets for CAU Core element 5
False: Depression alone does not justify a blank tool and this is not valid for abstraction
For CPU Core 9, this also needs to be documented along with the member signature if it is not a verbal agreement
What is the Date
True or False: While abstracting/Overreading an RAC assessment, "No Change" is acceptable to be abstracted.
False. The documentation of "No Change" is not acceptable for abstraction and can not be used.
True or False: For SCP, the entire care plan must be transmitted for it to be valid
False. It is not necessary to transmit the entire care plan to meet numerator criteria. LTSS organizations may select the most relevant parts of the plan or provide a plan summary.
What are the names of the 2 systems that we utilize for abstraction
What are rateLIFT and QMRM
CAU Core 4,5 and CAU Supplemental 11 must be done on one of these
What is a tool
This would be used as evidence that the member does not have a cognitive impairment and that no plan is needed for CPU Core 4?
What is the Tool or Question Set that was used for CAU Core 4. You will document the page number that was abstracted for CAU Core 4.
If a member is discharged after this date, we would exclude the member from RAC
What is December 1st
This is the time frame that transmission must occur in for SCP to be compliant
What is 30 days.