The four clinical categories under PDPM that relate to PT and OT are Major Joint Replacement or Spinal Surgery, Non-Orthopedic Surgery and Acute Neurologic, Other Orthopedic, and ________ Management.
A patient does NOT have to have a ___________ diagnosis to qualify for the Cognitive Impairment Category.
The six payment components used to determine total reimbursement per patient under PDPM are PT, OT, SLP, ________, NTA, and Non Case-Mix Payment.
Under PDPM, it is very important to have excellent communication with the _____________ team.
GG scoring must be captured within _________ days of admission for a Medicare A patient.
Either a _______ score or a CPS score is necessary to determine cognitive level and classify a patient under the PDPM SLP component.
The case mix components for SLP are the presence of an acute neurologic condition, SLP related comorbidity, cognitive impairment, mechanically altered diet and _____________ disorder.
The PDPM Unadjusted Federal Per Diem rate is broken into two areas, Urban and __________.
There are only three MDS assessments under PDPM; 5 day, _______, and Discharge assessment.
Down
The PT and OT adjustment factor determines that reimbursement be reduced by 2%, every _______ days, starting on day 21.
Per discipline, a patient's group and __________ treatment minutes should not exceed 25% of the total treatment minutes.
Under PDPM, the __________ score for the PT and OT components is calculated based on ten GG items.
The 9-Item Patient Health Questionnaire (PHQ-9) is a validated interview that screens for symptoms of ___________.
An IPA assessment is ________ and is only completed when the provider determines that a patient has undergone a clinical change that would require a new assessment.
Comparing RUGs vs PDPM, the Medicare payment model changed from volume based to ________ based.
What is the name of the Medicare reimbursement model that was implemented on October 1, 2019?
A patient's ________ medical diagnosis is used to determine the PDPM clinical category.
Under PDPM, the total number of patients allowed in a _________ changed from 4 to 6.
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