PDPM Nursing Category
Documentation of SOB lying flat
What along with COPD gets you special care high?
NTAs received for a wound infection of the foot
What is 1 point
How to get points for cognitive deficit
What is BIMS of 12 or below
Patient Driven Payment Model
What is PDPM
PDPM vs pdpm in PCC census line
What is true PDPM payer vs level payer
Removal of staples, warm compresses to the incision, reinforcement of non-removable dressing of the incision site.
What counts as surgical site care. Bonus point for what clinical category this will land you in.
Your resident has the diagnosis of DM II, epilepsy, morbid obesity and has a UTI w/MRSA. Total NTA points equals..
What is 4 points
Answer this question to get points for a swallow disorder- (just one)
What is loss of fluids from mouth or holding food in mouth or coughing/choking during meals/swallowing medications or c/o pain or difficulty when swallowing.
The section of the MDS that gives you the resident's function score
What is GG
Weekly Medicare meeting
What is Where d/c planning occurs/is discussed (mostly)
Fever plus these symptoms or conditions qualify for Special care high
What is Pneumonia, vomiting, wt. loss or feeding tube.
Your resident has the diagnosis of osteomyelitis with a sensitivity report that shows an organism resistant to two different ABT classes. They have a feeding tube w/enteral feedings continuous, are on IV ABTs and toenails are thick, yellow and peeling and one toe is red, inflamed and painful to the touch. Your NTA opportunities are.
What is OM, MDRO, feeding tube, IV ABTs, other foot problem/foot infection, risk for malnutrition. Bonus points for total NTA points.
Section K item to code if SLP evaluation says wet voice after swallowing
What is C- coughing or choking during meals
PHQ-9
What is how to capture depression
Contract logix
What is where to find Managed care contracts
You have on venous ulcer and one stage 2 pressure injury. You need this to get into Special care low
What is 2 or more treatments. Bonus point for what counts as a treatment.
Your resident has the diagnosis of end stage liver disease and cirrhosis of the liver. Your total NTA points are...
What is 2
Newly admitted trach resident, recently intubated resident or resident with oral thrush might have this complaint in section K
What is D- complaints of pain with swallowing.
Daily Technical spreadsheet
What is the tool used to organize and conduct your PDPM meeting
Benefit of Utilizing Group therapy with managed care
What is- to manage therapy minutes and therapy cost for plans with lower reimbursement
A condition for which you could utilize incentive spirometry to go from Clinically complex to Special care high
What is Pneumonia
Your resident has a diagnosis of morbid obesity w/BMI of 50 and has a CXR that show chronic atelectasis and chronic fibrocalcific lung changes. The resident states they are SOB while lying flat and they use a CPAP at night for OSA. You have the following NTA opportunities.
What is morbid obesity and chronic lung disease
Resident chews on meat for a time and then spits it out. This is a potential s/s of what item is section K
What is B- holding food in mouth
Great documentation
What is how to avoid a payback, needed to support all PDPM items etc..
When you would issue a NOMNC prior to the managed care company's "cut letter"
What is - when the resident has met goals,
what is - to manage the d/c process for the benefit of the facility