Test your knowledge

Test your knowledge questions:

1) A nursing note states a resident has intermittent shortness of breath with coughing. How would this be coded on the MDS?

2) The electronic software pulls in ADL documentation, but when a final refresh is completed, the ADLs that pull in are inaccurate. Now manual verification needs to be completed for every ADL. Is there a way to fix this?

3) A resident was discharged from a SNF to the hospital and an OBRA Discharge Return Anticipated (DCRA) assessment was completed. The resident was admitted to a different SNF after discharge from the hospital but then returned to the original SNF within 30 days from the discharge to the hospital. Is the OBRA schedule followed based on the DCRA or is the resident treated as a new admission?

4) A resident was admitted on Medicare Part A and a Drug Regimen Review (DRR) was completed at that time. Skilled services for the resident ended a couple of weeks later, but the resident remained in the facility as private pay. Following an orthopedic appointment approximately 20 days later, new orders were received, and the resident was able to resume Medicare Part A for skilled rehabilitation during the 30-day window. There was not another DRR completed when skilled care resumed. Can the DRR from the prior Medicare Part A stay be used?

5) If a resident is discharged before their planned Medicare discharge date, is an OBRA Discharge Return Not Anticipated (DCRNA) or is a Part A PPS Discharge for a new end of Medicare stay opened?