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Medicaid
LOC, Part 3
| Question | Answer |
|---|---|
| What rehab therapies count in this section? | PT; OT; Speech Therapy; Cardiac Rehab |
| For rehab scoring, what matters most? | Number of days |
| Do therapy minutes affect LOC points? | No; days drive points |
| Treatment category scoring style? | All-or-nothing |
| Urinary collection device examples? | Intermittent catheter; external catheter; indwelling catheter |
| Another name for intermittent catheter? | Straight cath |
| External catheter example? | Condom catheter |
| Indwelling catheter definition? | Catheter remains in bladder with inflated balloon |
| Urinary ostomy means what? | Urine diverted outside the body into a collection bag |
| Bowel ostomy example? | Colostomy |
| Tube feeding plus oral eating is coded as? | Combination oral and supplemental nutrition |
| Nasogastric feeding enters through? | Nose to stomach |
| Abdominal feeding tube often called? | PEG tube or button |
| TPN nutrition is delivered how? | Through a large IV line |
| Wound care points require what two things? | Qualifying skin condition and physician-ordered wound care |
| Stage 1 pressure ulcer? | Persistent redness |
| Stage 2 pressure ulcer? | Partial skin loss |
| Stage 3 pressure ulcer? | Open crater wound |
| Stage 4 pressure ulcer? | Extends into muscle or bone |
| Examples of other ulcers? | Venous ulcers and diabetic foot ulcers |
| Do oxygen treatments receive treatment points? | No |
| Why doesn't oxygen receive treatment points? | Impact is captured through ADLs and IADLs |
| Suctioning is used for? | Clearing secretions and maintaining airway |
| Tracheostomy care involves? | Care of an artificial airway in the neck |
| Ventilator care applies when? | Person cannot breathe adequately on their own |
| Safety category includes what automatic factor? | Age over 75 |
| Safety Part 1 includes? | Balance; vision; falls |
| Balance items include? | Standing; turning; dizziness; unsteady gait |
| Vision coded with what in place? | Glasses or visual devices |
| Vision points begin at what level? | Severe impairment or blindness |
| What is considered a fall? | Movement down to a lower surface |
| Does falling onto a couch count as a fall? | Yes |
| Should falls unrelated to diagnoses be counted? | No |
| Safety Part 2 reviews what timeframe? | Last 5 years |
| Residential history includes? | Nursing facilities; assisted living; psychiatric settings; IDD settings |
| Does length of psychiatric stay matter? | No; any stay counts |
Created by:
research11