Ask Proactive – How is the patient classified under PDPM if neither the BIMS nor the CPS staff assessment is completed to determine cognitive level?

How is the patient classified under PDPM if neither the BIMS nor the CPS staff assessment is completed to determine cognitive level?

A:

If neither the BIMS nor the staff assessment is completed, a patient will be classified under PDPM as if the patient were “cognitively intact.” In other words, even if the patient has a cognitive impairment, without the BIMS or staff assessment completed, the cognitive impairment will not be considered as part of the patient’s PDPM classification.