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Page 10

PPS Alert for Long-Term Care

November 2009

MDS professor

Think you’re an MDS expert? Test your knowledge of this long-term care assessment tool by answering the fol- lowing questions.

  • 1.

    Ms. Ryan is admitted to the nursing facility from the acute care setting July 10, 2009. Her first assessment is completed July 21, 2009 (day 12). She is a new resident who is recovering from a stroke and expects to stay about three to four weeks to regain strength and restore function to her right side. Her payer sources include Medicare Part A and B and MediGap insurance. She expects to begin physical and occupa- tional therapy immediately. What is the most likely coding of MDS 2.0 item AA8, Reasons for Assessment, for the first assessment on Ms. Ryan?

    • a.

      AA8a2, Annual Assessment, and AA8b4, Medicare 90-Day Assessment

    • b.

      AA8a3, Significant Change in Status, and AA8b8, Other Medicare Required Assessment

    • c.

      AA8a1, Admission Assessment, and AA8b1, 5-Day Assessment

    • d.

      AA8a1, Admission Assessment, and AA8b5, Readmission/Return Assessment

  • 2.

    Which of the following describes the meaning of staff signatures at item AA9 on the MDS 2.0?

    • a.

      Indicates that the assessment is complete

    • b.

      Indicates that privacy requirements are met

    • c.

      Indicates that HIPAA rules are met

    • d.

      Certifies that the information entered on the form is correct

  • 3.

    MDS 2.0 item AB1, Date of Entry, is an important date that identifies the first day of a stay. This date is completed on all new admissions. It is also completed and/or updated if _______________.

    • a.

      a resident is readmitted after being discharged as return anticipated (AA8a7)

    • b.

      a resident returns from a temporary home leave

    • c.

      a resident is discharged as a return not anticipated (AA8a6) and returns to the facility at a later date

    • d.

      a resident goes to the hospital for tests and returns that day

  • 4.

    MDS 2.0 item AB4, Zip Code of Prior Primary Resi- dence, indicates the community address where the resident last resided prior to admission.

    • a.

      True

    • b.

      False

  • 5.

    Which of the following is a reason that MDS 2.0 item AB7, Education (Highest Level Completed), is useful?

    • a.

      To determine Assessment Reference Date

    • b.

      For assessment of language skills

    • c.

      For assessment of lifetime occupation

    • d.

      For hospital record

  • 6.

    What is the look-back period used to complete MDS

2.0 Section AC, Customary Routine?

    • a.

      The year prior to admission

    • b.

      90-day look-back

    • c.

      Seven-day look-back

    • d.

      30-day look-back

  • 7.

    What should be coded in MDS 2.0 Section AC, Customary Routine?

    • a.

      Resident’s actual routine(s)

    • b.

      Goals of the resident

    • c.

      Resident’s preferences

    • d.

      Physician’s preferences

  • 8.

    Who signs MDS 2.0 item ADa, the first listed face sheet signature?

    • a.

      Social service

    • b.

      RN assessment coordinator

    • c.

      Admissions coordinator

    • d.

      Care plan coordinator

Find the correct answers on p. 12.

© 2009 HCPro, Inc.

For permission to reproduce part or all of this newsletter for external distribution or use in educational packets, contact the Copyright Clearance Center at www.copyright.com or 978/750-8400.

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