Nurse Executive Certification Practice Exam

Which document is NOT mentioned as a required part of the medical records for IRF-PAI data?

1. Preadmission screening

2. Post-admission physical evaluation

3. Insurance verification

4. Individual plan of care

The correct answer is: Insurance verification

The document that is not mentioned as a required part of the medical records for Inpatient Rehabilitation Facility Patient Assessment Instrument (IRF-PAI) data is insurance verification. This is because the IRF-PAI focuses on clinical information that directly affects patient care and treatment outcomes rather than administrative or financial documentation, such as insurance details. The IRF-PAI is designed to collect data that includes patient assessments and evaluation of clinical needs to ensure that appropriate rehabilitation services are provided. Therefore, the other documents, such as preadmission screenings, post-admission physical evaluations, and individual plans of care, play a critical role in assessing and managing the healthcare needs of rehabilitation patients. These items ensure that a comprehensive understanding of the patient's condition and treatment trajectory is captured, which is essential for effective rehabilitation planning and delivery.