CTRS CTRS Documentation & Reimbursement 2

Question 1

The Minimum Data Set (MDS) in skilled nursing facilities is relevant to TR because:

Accepted Answer

It includes activity and mood sections that TR specialists complete and that drive care planning and reimbursement

Answer

It determines room assignments

Answer

It certifies TR continuing education hours

Answer

It assigns diagnostic codes for billing

Question 2

Which ICD-10 coding category is most commonly associated with TR documentation to justify services?

Accepted Answer

Z codes (Factors Influencing Health Status)

Answer

E codes (External Causes)

Answer

V codes (Supplementary Classifications)

Answer

M codes (Musculoskeletal only)

Question 3

Progress notes in TR should be written:

Accepted Answer

At regular intervals reflecting the client's response to interventions and progress toward goals

Answer

Only at discharge

Answer

Once per month regardless of session frequency

Answer

Only when a client misses a session

Question 4

An 'interdisciplinary care plan' meeting in a rehabilitation hospital requires the TR specialist to:

Accepted Answer

Present TR goals, client progress, and planned interventions as an equal member of the treatment team

Answer

Observe silently and defer to physicians

Answer

Only discuss scheduling logistics

Answer

Submit documentation after the meeting is concluded

Question 5

A discharge summary in TR should include:

Accepted Answer

Functional status at admission and discharge, goal achievement, and recommendations for continued leisure participation

Answer

Only the client's diagnosis

Answer

The therapist's schedule of future availability

Answer

A complete list of all activities offered during the stay

Question 6

The Centers for Medicare & Medicaid Services (CMS) requires TR documentation to support the 'skilled care' standard, meaning services must be:

Accepted Answer

Of such complexity that they require the judgment and skill of a qualified professional to be safely and effectively performed

Answer

Provided at a reduced cost compared to other therapies

Answer

Offered in a group of at least five clients

Answer

Delivered within 24 hours of admission