: Patient Driven Payment Modelretake Exam All 19 Questions And Correct Detailed Answers With Rationales (Verified Answers) |already Graded A+

To validate the primary diagnosis code in I0020B, your facility will use which of the following to validate the code is appropriate: {Ans: Validate the code in the clinical mapping file to ensure it does not map to "return to provider".}Which statement is true regarding a new stay (not an interrupted stay)? {Ans: A resident admitted to a new SNF would be considered a new stay.}Mr. G was admitted to the SNF following aftercare for pneumonia and is receiving daily IV antibiotics. His 5-Day is coded as J15.1 (pneumonia due to pseudomonas) in I0020B, placing him in a pulmonary category for medical management. On day 15 of his stay, he fell and fractured his shoulder and subsequently underwent a surgical repair in the hospital. He returned to the same SNF within 3 days and it was noted he had a significant functional decline. What should the facility consider doing now? {Ans: Complete an IPA to recategorize Mr. G into the "Other Orthopedic" category. Along with the functional decline, it will qualify for a higher case mix group.}Which of the following is not true regarding the Interim Payment Assessment? {Ans: May be combined with any other PPS