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

The MDS sections on activity pursuit patterns, mood, and functional status directly involve TR input and influence Resource Utilization Group (RUG) classification and payment.

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

ICD-10 Z codes capture social, functional, and contextual health factors—such as limited social contact or adjustment disorders—that TR frequently addresses.

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

Regular progress notes document treatment response, goal attainment, and clinical reasoning, forming an essential legal and reimbursement record.

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

CTRSs participate as full treatment team members, contributing TR-specific assessment findings, goal progress, and discharge recommendations.

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

Discharge summaries capture functional change over time, outcomes achieved, and community resources or ongoing TR needs to ensure continuity of care.

(CTRS) Certified Therapeutic Recreation Specialist Practice Test

(CTRS) Certified Therapeutic Recreation Specialist Practice Test

CTRS CTRS Documentation & Reimbursement 2