Sixteen questions from a practicing home health DPT, about five minutes. This is not a fit quiz and there is no pass or fail. It shows you where you actually stand on the conventions that decide whether your first months feel like a learning curve or a scramble.
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1. On the OASIS-E2 transportation item A1255, you ask whether a lack of reliable transportation has kept the patient from appointments, work, or getting things they need for daily living. The patient says yes. What do you code?
2. You arrive and your patient is dressed, waiting by the door, and moves through every task smoothly. Her daughter mentions she needed hands-on help to stand twice earlier this week. What should the GG mobility scores reflect?
3. Your patient completes five sit-to-stands. You give no verbal cues, no steadying, and no contact. You stand nearby in case she loses her balance. What is the correct GG0170D score?
4. Your patient's only home entrance is a ramp. She never had steps to manage, before this hospitalization or now. How do you handle the step and stair items GG0170M, N, and O?
5. A payer reviewer is reading your follow-up note. Which line does the most work to establish skilled need?
6. Your agency uses a scribe service that pre-populates your SOC OASIS from the hospital history and physical before you walk in the door. Where does responsibility for the accuracy of those items sit?
7. You have a maintenance patient whose function has held steady for eight weeks. What is the 30-day reassessment supposed to accomplish on a case like that?
8. The referral says gait training after a knee replacement. In the home you also find new exertional shortness of breath with lower leg swelling, and you defer formal balance testing to the next visit. What belongs in the note?
9. A case manager tells you the agency will be paid more if you move a patient from two visits a week to three. Under PDGM, what is actually true?
10. Two patients on your caseload are each in a 30-day payment period. Can their LUPA thresholds be different numbers?
11. A referral arrives with no physician-specified start-of-care date. How fast does the initial assessment visit have to happen?
12. Scheduling asks a PTA to cover a visit that happens to land on the 30-day functional reassessment. Is that allowed?
13. You take a start-of-care blood pressure sitting, then again after a minute of standing. How big a drop makes it a finding you document and report?
14. Your patient takes metoprolol. Her heart rate moves from 64 to 68 across a full ambulation bout. How should you read that?
15. Your patient has COPD. His resting oxygen saturation is a reassuring 97 percent. It falls during an ambulation trial, and after several minutes of seated rest it still has not climbed back toward where it started. What is that recovery reading telling you?
16. Your patient goes down during your visit and is on the floor, awake and talking. What comes first?
Built by Hansun Ho, PT, DPT, a practicing home health physical therapist.
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