Test your knowledge

Test your knowledge questions:

1) Documentation provided by rehabilitation indicated the resident was not appropriate for skilled rehab and the recommendation was for outpatient PT/OT. However, the physician documented there was a skilled nursing need and to accept the resident to a skilled nursing facility (SNF). If the patient is admitted at a skilled level of care and therapy was needed, would the facility provide therapy 5x/week? Would the therapy be billed as Medicare Part A or Medicare Part B (outpatient)?

2) If a resident is admitted to a facility with a diagnosis of MRSA to a wound, is receiving oral antibiotics, and is in a single room by him/herself, can the resident be coded as Isolation in section O?

3) A resident has an indwelling catheter due to urinary retention. The resident also has a history of traumatic intracranial hemorrhage. Can this resident be coded as in I1550 (Neurogenic Bladder)?

4) Is it acceptable to complete a comprehensive assessment (annual) early, not following the usual schedule of 3 quarterlies and one annual assessment?

5) if a resident was in the hospital from 4/28 through 5/1 and the quarterly assessment ARD was 5/3, do you still look back 7 days for section G or just for 5/1-5/3?

6) Is a NOMNC issued when a Medicare A resident changes to HMO and the HMO decides not to pick the resident up. If so, when should the NOMNC be issued?

7) Will agency staff when they leave also affect the staffing turnover information?