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Prospective Payment System 2012: An Update

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1.  Key changes to PPS include:
  1. Allowing unlimited reimbursement without documentation.
  2. Changes to rules regarding group therapy.
  3. Changes to rules regarding students providing services.
  4. Both B and C
2.  The changes to PPS 2012 were primarily driven by:
  1. Increased use of Medicare Part A benefits.
  2. Unexpected increased Medicare expenditures for PPS 2011.
  3. Increased salaries for therapists.
  4. Non-compliance by providers of rules for PPS 2011.
3.  Grace days should by used:
  1. To better capture therapy services.
  2. Only if therapy is missed on a day during the assessment period.
  3. If the MDS Coordinator has too many assessments to get done.
  4. Both A and C.
4.  Group therapy is calculated on the MDS:
  1. Assuming that the group was scheduled to include 4 or more residents.
  2. By dividing the total group minutes by 4.
  3. In section K and section O.
  4. None of the above.
5.  The EOT/SOT OMRA sequence must by used if:
  1. The resident missed 3 consecutive days of therapy.
  2. The resident ended therapy and started again 4 days later.
  3. The resident ended therapy and resumed therapy more than 5 days later or their RUG level changed.
  4. Therapy discharged but the facility demanded that therapy resume the next day.
6.  The EOT-R OMRA is used when?
  1. Therapy ends and was placed at a Rehab RUG level.
  2. Therapy ends but resumes within 5 days at the same RUG level.
  3. Therapy ends unexpectedly and is not anticipated to start again.
  4. Therapy ends but resumes within 5 days at a different RUG level.
7.  A COT OMRA is required:
  1. Every 7 calendar days after the last completed assessment no matter what.
  2. Every 7 treatment days after the last completed assessment no matter what.
  3. After a 3 day gap
  4. Only when the rehab RUG would change every 7 calendar days after the last completed assessment.
8.  Payment for the COT OMRA is best described as which of the following?
  1. It sets a new payment that will pay forward until the next Medicare assessment.
  2. It sets a new payment level that will pay backward to the last Medicare assessment.
  3. It sets a new payment level that will become effective for the next scheduled therapy session.
  4. It sets a new payment level that will pay backward to the last Medicare assessment and will also pay forward to the next COT or Medicare assessment.
9.  What is one of the best strategies to use to minimize negative financial impact of PPS 2012?
  1. Decrease staffing levels to decrease facility/provider costs.
  2. Increase staffing levels but also increase RUG levels no matter what.
  3. Do nothing right away but rather perform an analysis for 3 months.
  4. Appropriately treat the residents while maximizing staff efficiency.
10.  PPS 2012 absolutely requires without question:
  1. Better communication.
  2. Increased productivity expectations.
  3. Increased staffing levels.
  4. None of the above.