Test Your Knowledge

Test Your Knowledge Questions:

1) If the assessment reference date is Oct. 20, 2022, and the resident received the influenza vaccine on Oct. 18, 2021, how would I code O0250A?

2) A long-term care resident discharged to the hospital on Sept. 20, 2022, and admitted to our facility on Oct. 20, 2022. Would the resident be considered a new admission or readmission? For the count to determine if she returned within 30 days, do I count September 20, the day of discharge, as day 1?

3) A resident is able to transfer to the toilet with essentially supervision/limited assist with a grab bar and no "weight bearing" from staff. The resident has a diagnosis of hemiplegia and grabs onto the bar with their strong arm to come to standing and to hold themself up. However, the resident is unable to perform pericare with their weak arm and staff assist with that part of the transfer. Technically extensive assist is defined as "weight bearing", which staff is not providing, but they are doing most of the ADL. The resident is incontinent at times, with staff performing incontinence care. Would this situation still be coded as extensive assist?

4) What step(s) need to be taken if a resident is flagged for taking anti-psychotic medications with an appropriate diagnosis but is still triggered on the CASPER report? What code should be used?

5) The scenario:

A resident is on LOA, expected return < 30 days, so a discharge was not completed. The resident goes to the hospital 12 days into the LOA and is admitted.

• • Is a discharge completed if the provider has knowledge of the resident being admitted?

  • What date would be used?

  • Would this be a discharge to the community or hospital?

6) Although weight loss was indicated in a resident's nutritional assessment, it was not coded on a prior comprehensive assessment. Would this qualify for a significant correction or just a modification?

7) A resident who receives skilled services under Medicare Part A went out with their family to attend a funeral and did not return within 24 hours. Would this be a Medicare Part A discharge?

8) Would this be considered a fall:

A staff member reached out to grab a resident as they were losing their balance, but the resident was able to catch them by placing a hand down on the bed.