Exam Preview for 4122: Home Health PDGM: What Therapists Need to Kn

Home Health PDGM: What Therapists Need to Know Now

Please note: exam questions are subject to change.

1. PDGM stands for: Payment Driven Grouper Model Patient Driven Group Mission Patient Driven Groupings Model Payment Driven Group Model
2. All of the following are Admission Source and Timing of the Episode groups except: Community Early Community Late Institutional Early Institutional High
3. Clinical Grouping is based on which of the following: Number of therapy visits Primary diagnosis Secondary Diagnosis Referral information
4. Which of the following clinical groupings exclude the provision of therapy: Behavioral Health Wounds Complex Nursing Interventions None of the above
5. Ability to submit RAPs (Request for Anticipated Payments) will be impacted in PDGM by which of the following: Location of the home health agency Number of patients an home health agency serves Length of time the home health agency has been in business All of the Above
6. In PDGM, the payment unit will consist of: 15 days 30 days 45 days 60 days
7. LUPAs (low utilization payment adjustments) thresholds in PDGM can be: 2 visits 3 visits 5 visits All of the above
8. Functional Levels in PDGM are derived from all of the following OASIS items EXCEPT: M1830 Bathing M1860 Ambulation M1880 Meal Preparation M1033 Risk for Hospitalization
9. Functional Levels in PDGM include all of the following EXCEPT: Low Medium High Ultra High
10. Behavioral adjustments in PDGM are meant to correct for: LUPA Avoidance Therapy Utilization Diagnosis Upcoding A&C are correct