Source of payment for nursing home services


Assignment:

Q1. An individual suffers a stroke. This is an example of

  • a chronic condition
  • a functional decline
  • a comorbidity
  • an acute episode

Q2. Which of the following is not an activity of daily living (ADL)

  • Moving from the bed to a wheelchair
  • Taking a bath
  • Using the toilet
  • Grocery shopping

Q3. Which policy triggered the growth of the nursing home industry in the US?

  • Federal grants to states under the Old Age Assistance Program
  • The Hospital Survey and Construction Program
  • Creation of Medicaid and Medicare
  • OBRA 87

Q4. The Nursing Home Reform Act contained in OBRA-87 was triggered by

  • a Congressional investigation into abuse and neglect of nursing home residents
  • class- action law suits across the county
  • complaints from consumers
  • the Institute of Medicine's scathing report on nursing homes

Q5. It is difficult to cut costs or raise productivity in a nursing home because

  • nursing home care is highly labor-intensive
  • an increasing number of people need nursing home care
  • reimbursement levels are low
  • current policy supports mvoing people out of nursing homes to the community

Q6. What is the purpose of an assessment?

  • To ensure functional independence
  • To determine individual needs
  • To maximize quality of care
  • None of the above

Q7. Certification of a nursing home

  • is mandated in each state
  • is a mark of high quality
  • enables it to participate in the Medicare and Medicaid programs
  • None of the above

Q8. In a nursing home which group of staff members render the majority of care

  • Licensed nurses
  • Certified Nurse Assistants
  • Social Workers
  • Physicians

Q9. Which is the largest source of payment for nursing home services

  • Private insurance
  • Medicare
  • Medicaid
  • Managed Care

Q10. For a nursing home to cover a patient under Medicare Part A, the patient must have stayed ____ nights in a hospital

  • 3
  • 20
  • 30
  • 100

Q11. Which of the following is not covered under Medicare Part A

  • Custodial care
  • Subacute care
  • Restorative Therapy administered by a registed physical therapist
  • Nursing care such as dressing changes and treatment of surgical wounds

Q12. How are prescription drug expenses covered while a patient is receiving Medicare Part A services in a nursing home?

  • They are included as a portion of the Medicare Part A reimbursement for that patient
  • They are covered under Medicare Part D
  • The patient is required to pay for them privately
  • None of the above

Q13. Case mix measures

  • Clinical severity oif the patient
  • Skill level of the Staff
  • Number of patients with a given condition
  • None of the above

Q14. To determine the case mix, MDS information is used to

  • refine patient assessment
  • evaluate quality indicators
  • adjust the base rate
  • classify patients

Q15. Who established Medicaid reimbursement rates?

  • State governments
  • Federal government
  • CMS
  • The fiscal intermediary

Q16. Under the various federal fraud and abuse statutes, it is a crime

  • to make a false claim of services that are billed to Medicaid and/or Medicare
  • to offer a kickback for admission referrals
  • for financial mismanagement
  • All of the above

Q17. A Nursing Home that receives a Life Safety Code Deficiency can respond by

  • submitting a plan of corrections
  • request a waiver
  • undergo a Fires Safety Evaluation Assessment
  • all of the above

Q18. Which funding source provides the largest portion on the nursing home's revenue?

  • Medicare
  • Medicaid
  • private pay
  • managed care

Q19. Which of the following is not a purpose of the medical record

  • Where clinical disciplines can document their disagreements
  • Defense in a malpractice case
  • Coordinating services across disciplines
  • Demonstrating compliance with regulations

Q20. The midnight census is used for

  • collection of accounts receivable
  • verification of residents physically presence in the facility
  • billing third party payers
  • none of the above

Q21. What is meant by accounts payable

  • Money owed to vendors
  • Credit
  • Good purchased on a non cash basis
  • An invoice sent by a vendor

Q22. Which of the following is an advanced directive

  • Living will
  • DNR
  • DPOA
  • All of the above

Q23. Which of the following is not a current trend in the nursing home industry

  • The number of nursing homes and beds are declining
  • The number of not-for profit facilities is increasing
  • Some nursing homes operate assisted living facilities
  • The nursing home industry is dominated by private, for profit chains

Q24. Which category of individuals is Medicare not designed to cover

  • The elderly
  • The disabled
  • People with end stage renal disease
  • Indigent adults under the age of 65

Q25. To qualify for Medicaid, a senior must

  • be disabled
  • spend (down) their assets
  • have a spouse
  • be admitted to a nursing home

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Other Management: Source of payment for nursing home services
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