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QI Credentialing Common Incorrect Prompts for facility ML31

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Review commonly incorrect answers for the 2025 QI credentialing exam for facility ML31

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QI Credentialing Common Incorrect Prompts for facility ML31
 

QI Credentialing Common Incorrect Prompts for facility ML31Version en ligne

Review commonly incorrect answers for the 2025 QI credentialing exam for facility ML31

par Meagan
1

On Saturday, June 1, 2019, Fatima was admitted to an IRF for critical illness myopathy. An OT conducted the BIMS with Fatima on the second day of her stay. The occupational therapist asked Fatima, “What month are we in right now?” Fatima replied, “May.” What would you code "Able to report correct month" as?

2

Marvin has a history of esophageal cancer, has not eaten or had anything to drink by mouth for the past two years, and relies on tube feedings for his nutrition. What is Marvin’s QI code for eating?

3

Wanda is apraxic after suffering a severe stroke. She did not attempt to brush her teeth after her occupational therapist handed her a toothbrush and provided verbal and tactile cues. The occupational therapist brushed Wanda’s teeth for her. What is Wanda’s QI code for oral hygiene?

4

Alexander used a urinal in bed. He adjusted his hospital gown before using the urinal. After he finished using the urinal, he performed perineal hygiene, adjusted his gown, and placed the urinal on his bedside rail for a nursing assistant to empty. What is Alexander's QI code for toileting hygiene?

5

Evelyn used a bedpan to void and to have a bowel movement. She adjusted her hospital gown before and after using the bedpan and a helper performed perineal hygiene afterward. What is Evelyn's QI code for toileting hygiene?

6

Joe wears a T-shirt under his button-up shirt. A helper provided cues in order to ensure that Joe maintained his back precautions as he put on his T-shirt and button-up shirt. Joe required assistance from the helper to button two of the buttons on his shirt. What is Joe’s QI code for upper body dressing?

7

Tammy required a helper to apply her abdominal binder while she was supine in bed. After positioning herself on the edge of the bed, Tammy put her right arm into her shirt and began to pull it over her head but needed the helper’s assistance to finish putting on her shirt. What is Tammy’s QI code for upper body dressing?

8

While Nancy was seated on the side of her bed, a helper assisted her with putting on her right compression stocking. Nancy put gripper socks on both of her feet while the helper provided supervision for sitting balance. What is Nancy’s QI code for putting on/taking off footwear?

Feedback

As it was the 1st of the month, just a day ago, the patient would have been correct. The correct answer would be “Accurate within 5 days”. The assessment has this wording in here for a reason as it may be the first few days of the month and then patient is still orienting the new month.

As it states Marvin has not eaten or had anything to drink for at least 2 years, the code for eating for this stay would be “09 Not Applicable” as Marvin did not perform the task prior to his rehab stay (for at least two years).

Wanda did not attempt the activity after she was provided cues and handed her toothbrush causing the OT to complete the task without Wanda’s effort. The correct code for this task would be dependent as the patient was unable to make any effort in completing the task.

As a helper was not present for Alexander while he managed his clothing and perineal hygiene, he would be independent with toileting hygiene in this scenario.

In this scenario, Evelyn managed her own clothing however the helper performed hygiene for her making the correct code for this Partial/Moderate Assistance.

As Joe required more than just touching assist (needing two buttons buttoned), the correct code would be Partial/Moderate Assistance.

Tammy was only able to complete putting her right arm into the shirt without assistance. She required assistance to don her abdominal binder as well as pulling her shirt over her head and threading her left arm into the shirt as well. This means that Tammy did less than 50% of the task making this code as Substantial/Maximal Assistance.

The helper assisted with donning the R compression stocking so even though Nancy donned her gripper socks with supervision, she still needed physical assistance to don the compression stocking coding her as Partial/Moderate Assistance.

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