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If you scored 60% or less, you're a beginner and will need to take a compliance course.

1. CMS (Medicare) requires a full clinical assessment for every skilled nursing visit. FALSE
Every 60 days a full clinical and functional assessment is performed to identify patient deficits. A careplan is developed to address those deficits for the certification period. The clinician performs interventions and assesses the patient within the scope of the problem list during the skilled visit. A full clinical assessment each and every visit is not indicated.

2. If I add more than 5 diagnoses on M0240, all the diagnoses entered will be used in the calculation of the HHRG. FALSE
OASIS has room for a maximum of 5 (M0240) diagnoses (with modifiers), and only 5 (M0240) diagnoses (with modifiers) are used to calculate the HHRG.

3. My State's home health licensing standards are significantly different than the CMS (Medicare) Conditions of Participation. FALSE
State home health licensing regulations almost always mirror the CMS federal Conditions of Participation.

4. CMS (Medicare) requires that the plan of care is reviewed by the attending physician at least every 60 days. TRUE

5. CMS (Medicare) requires that a separate therapy evaluation be performed if therapy is indicated. FALSE
No such condition or standard exists. In the eyes of CMS, the OASIS questions M0640 to M0770 address therapy issues. Some Agencies still perform therapy evaluations if therapy may be indicated, but there is no requirement to do so.

6. Medicare-certified HHAs traditionally publish the home health plan of care on the CMS485 (aka HCFA485). TRUE

7. Medicare-certified HHAs traditionally publish changes to the home health plan of care on the CMS487 (aka HCFA487). TRUE

8. CMS (Medicare) requires that each M0230/M0240 diagnosis be designated with either an "O" (for Onset) or "E" (for Exacerbation). FALSE
No such condition or standard exists. Some Agencies have gotten into the habit of including this extra documentation but there is no requirement to do so.

9. CMS (Medicare) requires that the patient sign the assessment and progress notes. FALSE
Many states require that timeslips should be signed by the patient or caregiver, but not the actual clinical documentation.

10. CMS (Medicare) requires that the patient receive a falls-risk assessment. FALSE
The only assessment that is required is OASIS.