MMCP Exam 2 UPDATED ACTUAL Exam
Questions and CORRECT Answers
what are some things to consider when making a discharge recommendation - CORRECT
ANSWER - - how the patient moves functionally
- support at home
- equipment at home
- precuations
- cognition
- what their home looks like
- patient preference
- access to care after they leave the hospital
what should a discharge plan determine - CORRECT ANSWER - - post-acute care
destination
- need for follow up services
what are some parts of the discharge plan PT can help with - CORRECT ANSWER --
assistive device
- appropriate rehab intensity levels
- safety plan
when does discharge planning begin - CORRECT ANSWER - as soon as the patient is
admitted
true or false: a patient may need to be discharge from the hospital before they are functionally
ready - CORRECT ANSWER - true
who makes the final discharge decision - CORRECT ANSWER - doctor/physician
,list inpatient discharge destinations - CORRECT ANSWER - - skilled nursing facility
- subacute rehab
- inpatient rehab
in order for a patient to be home with no services the patient should be - CORRECT
ANSWER - independent or at functional baseline
in order for a patient to be home with home PT the patient must be - CORRECT
ANSWER - homebound status
insurance coverage
list qualifications for homecare physical therapy - CORRECT ANSWER - - physician
certifies the patient is homebound and orders the care
- patient had a face-to-face visit with physician in previous 90 days or within 30 days of start
requirements of homecare physical therapy - CORRECT ANSWER - - beneficiary is
homebound
- beneficiary has a skilled need
- beneficiary requires only intermittent care
- services are performed under physician order
can you have just OT for homecare - CORRECT ANSWER - no OT is secondary to PT or
speech therapy
what are the two things that allow physician to consider a patient " home bound " - CORRECT
ANSWER - 1. because illness or injury, patient needs the aid of supportive devices such as
crutches, canes, w/c, and walkers; use of special transportation or the assistance of another
person in order to leave place of residence
OR
, 2. patient has a condition such that leaving their home is medically contraindicated (infection,
wound, cardiorespiratory status)
homecare is billed under - CORRECT ANSWER - Medicare Part A
outpatient physical therapy is billed under - CORRECT ANSWER - Medicare Part B
in order to be admitted to a subacute rehab the patient must require - CORRECT
ANSWER - daily skilled care; 7 days per week of skilled nursing care and/or 5-7 days of
skilled rehabilitation
Medicare pays for 100% of the cost of subacute rehab for the first 20 days, and
___________________ - CORRECT ANSWER - 80% of costs for days 21-100
to qualify for an inpatient rehab facility/acute rehab - CORRECT ANSWER - patient must
benefit from and tolerate 3 hours per day of 5 to 7 consecutive days between PT/OT/speech
define LTACH - CORRECT ANSWER - extended medical and rehabilitative care with
medically complex patients who need hospital-level care for an extended period of time
list typical LTACH diagnoses - CORRECT ANSWER - long term ventilation
TBI
a wound
cant walk (paralysis)
has organ failure
which facility requires medical interventions such as a ventilator trach care, chest tubes, IV
antibiotics - CORRECT ANSWER - LTACH
Questions and CORRECT Answers
what are some things to consider when making a discharge recommendation - CORRECT
ANSWER - - how the patient moves functionally
- support at home
- equipment at home
- precuations
- cognition
- what their home looks like
- patient preference
- access to care after they leave the hospital
what should a discharge plan determine - CORRECT ANSWER - - post-acute care
destination
- need for follow up services
what are some parts of the discharge plan PT can help with - CORRECT ANSWER --
assistive device
- appropriate rehab intensity levels
- safety plan
when does discharge planning begin - CORRECT ANSWER - as soon as the patient is
admitted
true or false: a patient may need to be discharge from the hospital before they are functionally
ready - CORRECT ANSWER - true
who makes the final discharge decision - CORRECT ANSWER - doctor/physician
,list inpatient discharge destinations - CORRECT ANSWER - - skilled nursing facility
- subacute rehab
- inpatient rehab
in order for a patient to be home with no services the patient should be - CORRECT
ANSWER - independent or at functional baseline
in order for a patient to be home with home PT the patient must be - CORRECT
ANSWER - homebound status
insurance coverage
list qualifications for homecare physical therapy - CORRECT ANSWER - - physician
certifies the patient is homebound and orders the care
- patient had a face-to-face visit with physician in previous 90 days or within 30 days of start
requirements of homecare physical therapy - CORRECT ANSWER - - beneficiary is
homebound
- beneficiary has a skilled need
- beneficiary requires only intermittent care
- services are performed under physician order
can you have just OT for homecare - CORRECT ANSWER - no OT is secondary to PT or
speech therapy
what are the two things that allow physician to consider a patient " home bound " - CORRECT
ANSWER - 1. because illness or injury, patient needs the aid of supportive devices such as
crutches, canes, w/c, and walkers; use of special transportation or the assistance of another
person in order to leave place of residence
OR
, 2. patient has a condition such that leaving their home is medically contraindicated (infection,
wound, cardiorespiratory status)
homecare is billed under - CORRECT ANSWER - Medicare Part A
outpatient physical therapy is billed under - CORRECT ANSWER - Medicare Part B
in order to be admitted to a subacute rehab the patient must require - CORRECT
ANSWER - daily skilled care; 7 days per week of skilled nursing care and/or 5-7 days of
skilled rehabilitation
Medicare pays for 100% of the cost of subacute rehab for the first 20 days, and
___________________ - CORRECT ANSWER - 80% of costs for days 21-100
to qualify for an inpatient rehab facility/acute rehab - CORRECT ANSWER - patient must
benefit from and tolerate 3 hours per day of 5 to 7 consecutive days between PT/OT/speech
define LTACH - CORRECT ANSWER - extended medical and rehabilitative care with
medically complex patients who need hospital-level care for an extended period of time
list typical LTACH diagnoses - CORRECT ANSWER - long term ventilation
TBI
a wound
cant walk (paralysis)
has organ failure
which facility requires medical interventions such as a ventilator trach care, chest tubes, IV
antibiotics - CORRECT ANSWER - LTACH
