Quiz Course: The MDS For SNF Therapy Professionals – BIMS, PHQ, GG and More

1. Question

The original intent for the MDS (OBRA 1987) in the SNF was to provide a tool for nurses and clinicians to collect resident data, determine potential and actual problems and help to set up a plan of care that would promote the resident’s highest level of function.

True
False

2. Question

The OBRA MDSs are federally required and completed to assist with driving resident care. The PPS MDSs are mainly required for what reason? (Select best option)

To obtain a nursing home's 5 STAR Rating
To establish the Quality Measures
To establish Scores in the PT/OT, Speech, Nursing and NTA Components so Medicare knows when and how much to reimburse the facility for services
None of the above

3. Question

If an OBRA MDS is late or missing, you may have an issue on your State Survey. If a PPS MDS is late or missing, what will happen?

The resident will need to pay for all services received during that time
The facility will either be paid at a lower rate (default) or will not be paid at all (provider liable) for the dates that the late/missing MDS would have covered
There is no penalty for a late or missing PPS MDS
None of the above

4. Question

Section A of the MDS contains what important information?

The selection of the "type" of MDS assessment with corresponding links to all required questions
The ARD (Assessment Reference Date)
New resident interviews for Race and Ethnicity, part of the SPADES question set added 10/1/23
Information to determine if a reconciled medication list was provided upon discharge from the facility, either to the next provider, or to the resident if discharged home, added to the MDS 10/1/23.
All of the above

5. Question

MDS Sections C (BIMS), D (Mood), F (Customary Routine) and J (Pain) all contain different types of Resident Interviews. What do all the interviews have in common?

They have to be completed by a nurse
They can't be completed until after the ARD
They all have a "staff assessment" that you can choose to complete instead of interviewing the resident
They have to be completed on or before the ARD
None of the above

6. Question

What do RUG scores and Section G have in common?

They are both no longer supported by CMS and are not on any required OBRA assessments as of 10/1/23
The were both part of the PPS reimbursement system for 20 years.
They are still in use by some states for Medicaid and can only be found on the Optional State Assessment (OSA), which is not a Federally required assessment.
All of the above

7. Question

Section GG Self Care and Mobility contains 2 columns on the 5 day PPS MDS and 1 column on the PPS Discharge MDS for data collection. What is label of the column that should NEVER contain dashes, as this may result in a payment penalty?

Performance Column
Goals Column

8. Question

Selecting 1 Discharge Goal in Section GG has been a requirement for over 5 years. However, effective 10/1/23, this is no longer required as part of the SNF Quality Reporting Program and effective 10/1/24 the DC Goal column will no longer be on the MDS.

TRUE
FALSE

9. Question

Which of the following regarding the “Modes of Therapy” on the MDS is NOT true:

A resident covered under Medicare Part B can never be coded with concurrent treatment time on the MDS. Medicare Part B residents would be coded either Individual or Group.
If a resident does not have Medicare Part B, the MDS Manual states to apply the rules as if that resident has Medicare Part A (even if the resident was private pay, HMO or Medicaid)
The criteria for coding Group Therapy requires that the group was planned, it can be found in each resident's plan of care and 2-6 residents will participate in the group.
You cannot code the MDS with more than 1 Mode of Therapy for a resident per day (only 1 Mode per day is allowed)

10. Question

There is 1 question on the MDS that will impact the Case Mix Group under PDPM (Patient Driven Payment Model) for all 3 therapy disciplines: PT, OT and Speech.

What MDS Section is this question in; and what Type of question is it?

Section A; Date
Section I; Date
Section I; ICD-10 Code
Section O; Mode of Therapy

11. Question

Which statements about Section GG are TRUE?

Section GG Self Care and Mobility questions have replaced Section G
Section GG is coded based on the resident's "usual performance." Determining usual performance is an "assessment." This is why it can only be coded on the MDS by a "qualified clinician."
As of 10/1/23, Section GG items are now completed on both PLANNED AND UNPLANNED discharge assessments
Prior to 10/1/23, Section GG was only on Medicare Part A PPS MDSs. Now Section GG is on all OBRA (Admission, Quarterly, Annual, Significant Change, Discharge) and PPS assessments.
All of the above

12. Question

SPADES are a new group of questions added to the MDS as of 10/1/23. These exact Standardized Patient Assessment Data Element questions can also be found in other Post-Acute Care Settings. (ie: On the OASIS in the homecare setting, On the PAI in the Inpatient Rehab Setting)

True
False

13. Question

The Brief Interview of Mental Status (BIMS) has specific rules associated with completion. ALL of the following are TRUE about the BIMS EXCEPT WHICH ONE?

The BIMS is a scripted interview and must be administered in the proper order, with scripted language.
The RAI Manual states the BIMS completion is any day during the look-back period, though the preferred completion is "on the ARD or the day prior to the ARD."
If the resident is not able to complete the BIMS interview (ie: non-sensical answers to 4 or more questions), the Staff Assessment can be completed.
If the BIMS was not completed on or before the ARD (ie: staff was late in getting to the resident in time), the Staff Assessment can be completed to obtain a score.

14. Question

For PDPM Nursing Component scores, there are some MDS questions that work in combination, meaning, 2 separate MDS items need to be answered a certain way, and the combination of the 2 questions results in a higher Nursing Case Mix Group Score. An example of this type of combination is:

COPD from Section I and Shortness of Breath Lying Flat from Section J
Fever from Section J and Pneumonia from Section I
COPD from Section I and Oxygen from Section O
Both A and B above

15. Question

Having a student that is treating residents can greatly change the MODE of THERAPY (Individual, Concurrent and Group) that is documented and billed. The student is an extension of the therapist or assistant. When coding/billing for the student and therapist, what both were doing at the time is factored in.

Which of the following scenarios is NOT TRUE?

When the therapist and student are each treating their own Part A resident for the same time period, both must bill concurrent therapy, not individual therapy,
When a Part B resident is being treated by a student, the therapist must be present and directing the service, and not engaged in treating another resident at the same time.
Therapy students are not required to be in line-of-sight of the therapist when treating a Medicare Part A resident. However, if the supervising therapist is treating a resident at the same time, both would need to be in line-of-sight as this is a concurrent treatment situation.
Having a student will improve the productivity of the supervising therapist.