Test Your Knowledge Questions:
1) If 2 rehab staff assist residents in completing the tasks of walking 10 feet and 50 feet, how would both tasks be coded?
2) If a resident eats without assistance but the staff are the ones who set up the tray and clean up the table during meals, would this be coded as 'Independent' or 'Set-up/Clean-up' assist?
3) If an assessment has not been transmitted and is within the 14 days of admission can the ARD be moved?
4) What is the consequence of a late MDS submission?
5) Can managed care residents in SNF receive ABNs?
6) Can GGs be completed by LPNs and RNs?
7) Is hospice coded in section J (terminally ill) if there were orders on their last day (hospital), but no orders on the day of admission to the SNF? (J1400 Prognosis: Does the resident have a condition or chronic disease that may result in a life expectancy of less than 6 months;(requires physician documentation), as well as section O hospice while a resident?
8) If the ARD is set for day two of admission/stay to capture fluids while not a resident is the look back for GG still the first 3 days of the stay? Example: entry 3/19/24, ARD 3/20/24 - can we 3/21 still be used to gather the GG information?
This document answers frequently asked questions about a set of codes Medicare adopted for physician payment beginning in 2024 to further address health-related social needs of Medicare beneficiaries:
Caregiver Training Services (CTS), Community Health Integration (CHI) services, Principal Illness Navigation (PIN) services, and Social Determinants of Health Risk Assessment (SDOH RA).