Exam Preview

Home Health: PDGM to COVID-19 Response

---

1.  What does PDGM stand for? Patient Diagnosis Groupings Model Patient Driven Groupings Model Primary Diagnosis Grouping Model Physical Disability Grouping Model

2.  Which below is NOT one of the PDGM case-mix variables? Patient Age Patient Impairment Level Co-Morbidity Adjustment Admission Source and Timing

3.  What Admission Source Timing Variable is reimbursed the most under PDGM? Community Early Community Late Institutional Early Institutional Late

4.  What are the therapy thresholds for increased payment, under PDGM? 13 visits and 19 visits After 20 visits PDGM does NOT reimburse for increased therapy visits 16 visits

5.  What is metacognition? The ability to attend to a task The ability to plan out the steps for completing multiple activities Awareness of one’s own thought process and knowing how and when to use strategies to solve problems The speed with which someone is able to solve a problem

6.  What universal PPE precautions have shown to be effective at stopping transmission of COVID-19? Goggles and surgical mask only Goggles/facemask, surgical mask/N95, gloves Gloves only Thoroughly disinfecting surfaces only

7.  Occupational Apartheid refers to: Inability to engage in ADLs Unwilling to participate in day to day activities due to weakness and depression Being restricted from participating in meaningful intellectually and physically stimulating activities due to race, disability, gender, age, nationality, or social status Being restricted from participating in interesting and meaningful activities due to one’s geographical location (i.e., unable to ski regularly due to living in Miami)

8.  Is discharging a patient, who needs therapy services, because their insurance will no longer cover therapy services considered an ethical act under utilitarianism? Yes - because it keeps the home heath company from being denied reimbursement for services No – This negatively impacts the patient’s health and well-being and does not maximize beneficence and minimize maleficence Yes - because the patient can continue with the home exercise program the therapist provided them None of the above because there is no such thing as Utilitarianism

9.  What constitutes an early episode of home health under PDGM First 60 days First 30 days First 10 days First 90 days

10.  Under PDGM a home health referral for a patient who 30 days ago was in a skilled nursing facility, but is at home at the time of the referral, is considered: Community Late Community Early Institutional Early Institutional Late