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Skilled Nursing Facility Primer- Part 1

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1.  How many days does a Medicare Beneficiary receive full coverage for skilled services? 100 25 75 20

2.  How many days a week are considered skilled for therapy? At least 3 4 5 6

3.  Which section of the MDS does therapy often contribute to for payment under PDPM? Section B Section BB Section G Section GG

4.  Per the RAI Manual, a helper is defined as: Students Facility staff Hospice staff Hired help

5.  Which insurance type does NOT pay for therapy services in a SNF? Medicaid Medicare A Medicare B Managed Care B

6.  Common areas of OT treatment areas for long term care residents include all of the following EXCEPT: Decline in ADL Splinting Gait training Wheelchair seating

7.  To be compliant with CMS guidelines, therapy must do all of the following EXCEPT: Slow further deterioration of the patient’s condition Maintain a patient’s current condition Improve a patient’s current condition Return the patient to the same level of functioning prior to onset of current condition

8.  The three areas of complexity for occupational therapy evaluations include all of the following EXCEPT: Moderate complexity High complexity Low complexity Maximum complexity

9.  What was the name of the class-action lawsuit that defined maintenance therapy? Brown vs. CMS Jimmo vs. Sebelius David vs. Goliath Jimmo vs. US District Court

10.  Which one is considered a non-billable service? Screens Therapeutic exercise Cognitive function Wheelchair management