Wounds, Wounds, Wounds
Full-thickness tissue loss with slough present but does not obscure the base of the wound bed.....
What is a Stage III pressure ulcer?
When questioning which functional response to choose, what technique should you use.
What is starting from the bottom/lower functioning level and reading up?
The number of falls that would be reported in J1900 for a patient who experienced 1 fall with 2 resulting injuries
What is one?
Every 30 days
What is the payment period in PDGM?
When completing these OASIS items, the use of devices does not impact these scores.
What is OASIS "GG section"?
Full-thickness tissue loss with slough and/or eschar obscuring more than 50% of the base of the wound.....
What is an unstageable pressure ulcer?
Functional ___ questions are more global while ____ questions are task-specific
What are M & GG?
eg. M1820 Lower Body Dressing vs GG130 G Lower Body Dressing & GG130 H Putting on Footwear.
A fall resulting from a patient being pushed by an overwhelming force is reported in this J OASIS item
What is none?
Variable threshold between 2-6 visits in which payment is decreased if the thresholds are not met
What is the LUPA rate?
THIS is the code you'll report for GG0100 if the patient and family are not able to provide necessary details on the patient's functional status prior to the current illness.
What is "8-Unknown"?
Your patient has Diabetic Neuropathy. When completing the Braden scale assessment, what should you NEVER choose for sensory perception:
1. Completely Limited
2. Very Limited
3. Slightly Limited
4. No Impairment
What is: 4. No Impairment?
"Responds to verbal commands. Has no sensory deficit which would limit ability to feel or voice pain or discomfort."
THIS OASIS question will impact numerous other responses, eg. medications, transferring.
What is M1860 (Ambulation)?
How "near falls", (where someone catches or steadies the patient) are reported on J1800
What is reported as a fall?
This type of assessment is due to be completed within 48 hours of the patient's return to the home from a hospital admission of 24 hours or more.
What is the resumption of care (ROC)?
THIS is an "activity not attempted" code that you can use to report a discharge goal for GG0170K - Walking 150 feet.
What is (07-refused or 09-NA, or 10-Not attempted due to environmental limitations, or 88-Not attempted due to medical conditions or safety concerns)?
All are permissible
When completing the Braden Risk Assessment and the patient's POC includes PT, which of the following would NOT generally be the best option to choose for the patient's activity level:
1. Bedfast
2. Chairfast
3. Walk Occasionally
4. Walks Frequently
Patient ability to prepare, retrieve, and take all oral medications.
What is the M2020 Management of Oral Medications question?
Name three things you may incorporate into a patient's POC if they are at a risk for falls.
What is:
Monitor orthostatic b/p's
Refer to PT
Offer info. on medical alert devices
Assess medications and talk with provider re: medications
Address foot problems
Address vision deficits
Assess home safety and offer recommendations on changes, modifications, and equipment
Provide training on gait belt use
Implementing a toileting schedule
Provide HEP
This is the time frame to complete a recertification visit
What is within 5 days prior to the end of the episode?
For GG0170A-Roll Left and Right, THIS is the Performance Code to report if one caregiver provides only verbal cues and another caregiver supports an injured leg.
What is "01-Dependent"?
Mrs E had an unstageable pressure ulcer at SOC; at recert it was Stage 2; now at discharge it is Stage 3. In completing the DC OASIS, you would enter THIS for M1311A2 ("Number of these Stage 2 pressure ulcers that were present at most recent SOC/ROC").
What is Zero?
OASIS questions that affect payment in PDGM.
What are Functional impairment and Risk for Hospitalization questions?
Mr. S reported that he slipped on a wet spot on the floor yesterday. He lost his balance and bumped into the wall, but was able to steady himself and remain standing. How would this affect J1800 at discharge (how many falls since SOC/ROC)?
What is be counted as a fall? (an intercepted fall is still considered a fall)
When discharging a patient, this is the period of time that the assessing clinician can consider, if he/she wants to supplement the DC assessment with information from other agency staff.
What is the "last 5 days that the patient received visit" (a.k.a., the date of the last patient visit, plus four preceding days?
For GG0130-Self Care or GG0170-Mobility activities, THESE are the two Performance Codes that you shouldn't use if someone has to be with the patient during the completion of the activity.
What are Code 06-Independent and Code 05-Setup or clean-up assistance?