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1) The correct answer is 3: A response must be entered in M0110. Skipping the question is not allowed and an equal sign is not an allowed response. The responses of Early and Later may be used for a payer that requires a HHRG score under the PPS payment model.

2) GG0130A Eating, GG0130B Oral Hygiene, GG0130C Toileting Hygiene, GG0170B Sit to lying, GG0170C Lying to sitting on the side of the bed, GG0170D Sit to stand, GG0170E Chair/bed-to-chair transfer, GG0170F Toilet transfer AND GG0170J Walk 50 feet with two turns / GG0170K Walk 150 feet OR GG0170R Wheel 50 feet with two turns / GG0170S Wheel 150 feet.

3) M1830 is used to calculate the functional score that determines a portion of home health reimbursement.

4) No. An LPN, OTA, and PTA are clinicians who are not qualified to establish the Medicare home health benefit for Medicare beneficiaries or perform comprehensive assessments.

5) Transfer means transfer to an inpatient facility (e.g. hospital, rehabilitation facility, nursing facility, or inpatient hospice for 24 hours or more for reasons other than diagnostic testing.

Until next month, stay safe!