Kemp Notecards

Question 1

Attributes of prosody

Answer 1

1. pitch of the voice (varying between low and high)
2. length of sounds (varying between short and long)
3. loudness, or prominence (varying between soft and loud)
4. timbre or phonatory quality (quality of sound)

Question 2

Apragmatism

Answer 2

difficulties in conveying or comprehending the meaning or intent of a message and can include any or all of the different modes of communication (words, prosody, and/or body language)

Question 3

LOS (kpi)

Answer 3

Length of stay

Question 4

ADC (kpi)

Answer 4

Average daily count ?

Question 5

EPOB (kpi)

Question 6

PEM (kpi)

Question 7

DTC (kpi)

Question 8

FIM (kpi)

Question 9

ACT (kpi)

Question 10

Values (5)

Answer 10

Set the standard
Lead with empathy
Do what’s right
Focus on the positive
Stronger together

Question 11

Medicare Discharge Rule

Answer 11

60% discharged with 1 of 13 qualifying conditions
will lose classification if below 60%
tested annually

Question 12

IRF Patient Qualifications

Answer 12

Requires multiple therapy disciplines
PT, OT, SLP (speech, language, pathologie)

Question 13

IRF admissions criteria

Answer 13

Three hours of therapy per day five days per week
Reasonable expectation to benefit from therapy
Requires interdisciplinary team approach
Physician visits three times per week

Question 14

Pre-Screens must include (9)

Answer 14

Prior level of function
Expected length of stay
Detail justification for admission
Expected level of improvement
Risk of clinical complications
Conditions that calls need for therapy
Combination of treatments needed
Frequency and duration of treatments
Anticipated, discharge destination, and treatments

Question 15

Does pre-screening require clinical recommendation?

Answer 15

Yes, but non-clinical can complete paperwork

Question 16

IRF requirements after patient admission

Answer 16

Doctors orders
History and physical exam (H&P) within 24 hours
Rehab consultation within 24 hours
Interdisciplinary Conference every seven days
Therapy intensity, 3HPD for 5DPW
(IPOC) individualized plan of care for days after fish
Three face-to-face visits per Dr. per week
Discharge summary 14 days of discharge
Completion of patient assessment instrument (PAI)

Question 17

HIMS

Answer 17

Health Information Management

Question 18

IPOC

Answer 18

Individual plan of care

Question 19

H&P

Answer 19

History and physical exam

Question 20

PM&R / Physiatrist

Answer 20

Physical medicine and rehabilitation physician

Question 21

QRP

Answer 21

Call the reporting program

Question 22

PAI

Answer 22

Patient assessment instrument

Used to collect patient data for quality measures and payment determination 

Question 23

Medicare’ IRF PPS

Answer 23

Prospective payment system for reimbursement based on diagnosis, motor score and age
Fixed rates and not dependent upon length of stay or specific services

Question 24

Medicare CMGs

Answer 24

Case Mix groups
Based on primary rehab needs, age, level of motor and cognitive function
4-tier system

Question 25

Medicare reimbursement guidelines (3)

Answer 25

Complete PAI on both admission and discharge, supply physician order

Question 26

CMS

Answer 26

Centers for Medicare and Medicaid services

Question 27

Stark law

Answer 27

Prohibits physicians from making referrals where the physician has a financial or family relationship

Question 28

Anti-kickback statute (AKS)

Answer 28

Willingly offers to pay for anything to induce arrangements for a health care service

Question 29

GME limits

Answer 29

$15 or less
Annual limit
Never cash or gift cards
Usually tied to educational event

Penalty = civil,monetary penalties (CMP)

Question 30

GG (section of IRF-PAI)

Answer 30

Assessment done at admission and discharge to show levels of function with self-care mobility ADLs. Criteria set by CMS.