Exam Preview for 3989: Maintenance Therapy in Home Health Revisited

Maintenance Therapy in Home Health Revisited: Part 2

Please note: exam questions are subject to change.

1. Which of the following statements is TRUE regarding functional reassessments? Required for restorative episodes not maintenance episodes. Required for all restorative and maintenance episodes. Not a requirement of CMS for Medicare episodes. Must show improvement to justify skilled need.
2. CMS covers maintenance therapy under the home health benefit. Which of the following is true? Maintenance therapy is expected to last for a full certification period. Maintenance therapy is a custodial benefit. Maintenance therapy is expected to be completed on the last visit to the home. Maintenance therapy may be provided for all episodes.
3. Under the maintenance benefit, which disciplines may provide the care in home health? COTA PTA OT MSW
4. Which of the following G codes is the correct billing code for Occupational Therapy Maintenance Care? G0157 G0158 G0159 G0160
5. Which of the following G codes is the correct billing code for Occupational Therapy Restorative Care? G0151 G0152 G0153 G0157
6. Which of the following is true regarding home health billing? Billing codes are connected to 15 minute billing units Billing codes are not connected to 15 minute billing units Maintenance billing codes are per visit only Restorative billing codes are per visit only
7. Once a patient is determined eligible for home care services, what is the first question to consider when deciding if someone is appropriate for maintenance therapy? Is care custodial or skilled? Is care able to be done by patient/family? Is the patient at risk for deterioration? Is the patient functioning at ability level?
8. Which OASIS item may provide information regarding risk factors for rehospitalization? M0100 M1033 M1400 M1910
9. What OASIS Timepoint is used to determine risk adjustment? Start of Care OASIS Transfer OASIS Recertification OASIS Discharge OASIS
10. Which is true about maintenance therapy? Maintenance is a long term care benefit. Maintenance episodes should be recertified. All episodes of care should have 1 maintenance visit as the discharge visit. Maintenance is not considered a long term care program