Test Your Knowledge

Test Your Knowledge Questions: 

1) If CNA documentation for Section GG is changing, how is "support provided" documented? How is it shown that support was provided by 1 or 2+ people? 

2)  If a resident is admitted with a UTI diagnosis from the hospital, does it need to be coded on the MDS even if McGeer criteria are not met?

3) What assessments are required when a resident goes out on a leave of absence (LOA)? 

4) Come October, are the ethnicity and race items required to be asked on all assessments or can this information be carried over across each MDS assessment? 

5) In section GG, if you only answer one goal and dash the others does it impact any reports or reimbursement? SNFQRP? Who out there is answering just one versus answering all? 

6) Medicare A resident stayed in an acute hospital for 3 overnights. Upon returning, is this considered a new benefit period? 

7) A quarterly assessment ARD was set for 8/9/23. The therapy manager stated they were unable to get the therapy minutes needed for that ARD and requested to move the ARD to 8/10/23. It was always the understanding moving the ARD can only be completed during the look-back period. So I am hesitant to change this ARD because we are past the set ARD date. The therapy manager states it can be done. Can someone please clarify for me? 

8) If a resident admits to the facility with a second or third-degree burn and it was documented as healed during the look-back period, would it be coded on the MDS at M1040F? 

9) A resident on a Medicare Advantage (MA) plan, went out for a one-day leave of absence (LOA). A discharge assessment and reentry would not be required for Medicare Part A, but since this is covered by the MA plan, does a discharge assessment, reentry, and new 5-day assessment need to be completed? 

10) When will the new changes affect the MDS assessment? Is this according to the assessment reference date (ARD) or the admission date? For example, if the resident was admitted on Sept. 28, 2023, and has an ARD of Oct. 1, 2023, would the new changes be included on this MDS? 

11) Can an SNF bill Medicare A a 'partial bill' if a resident is admitted to the facility from the hospital and then discharged back to the same hospital 2 hours later? 

12) My understanding is we only need 1 discharge goal.  After that, we can dash the rest.  Correct? 

13) If a resident receives an antipsychotic medication, as well as an antidepressant and antianxiety, and sees a psychiatrist remotely, and the psychiatrist writes "Reduction in dosage would not be beneficial at this time" as a blanket statement regarding all of their psychotropic medications - would I count that as a physician documented GDR clinical contraindication in N0450D?