Questions & Verified Answers | Complete Exam Prep
1. Describe the coverage provided by Medicare Part A for skilled nursing facility
patients regarding the duration of full payment before coinsurance is
required.
Medicare Part A only covers 20 days of full charges for skilled nursing
facility patients.
Medicare Part A does not cover any charges for skilled nursing
facilities.
Medicare Part A covers full charges for 80 days for qualified patients
in a skilled nursing facility before coinsurance applies.
Medicare Part A covers full charges for 100 days with no coinsurance
required.
2. Why are written policies and procedures important for the operation of a
nursing facility?
They are only necessary for legal documentation.
They provide a framework for consistent care and compliance with
regulations.
They are primarily for the benefit of the administrative staff.
They serve as a means to limit patient interactions.
3. Cheng is concerned about his restaurant surviving if something happens to
his building, such as a water pipe bursting. He should consider which kind of
optional insurance coverage?
Commercial general liability insurance
Workers' compensation insurance
, Business interruption insurance
Funds transfer fraud coverage
4. One of the best tools for managing risks and receding the likelihood of a
lawsuit being brought against a nursing facility is
Establishing an open and clear communication with residents,
families and staff
Providing annual in-training on safety procedures for all staff
Retaining a law firm for advice and counselor risk avoidance
Establishing ad admissions committee to evaluate risk prior to
admission
5. Describe the significance of RUG II categories in determining Medicare Pt. A
eligibility for rehabilitation services.
RUG II categories are used solely for billing purposes and do not
affect patient eligibility.
RUG II categories are irrelevant to Medicare Pt. A eligibility and focus
only on nursing home quality.
RUG II categories help classify patients based on their care needs,
which is essential for determining eligibility for Medicare Pt. A
rehabilitation services.
RUG II categories are only applicable to outpatient services and not
to rehabilitation.
6. How many days of hospitalization are required before Medicare pays for
services in a skilled nursing facility?
10
3
, 7
5
7. What is the responsibility of the board of trustees?
Responsible for the quality of the nursing care provided in the facility.
Manage the organization and is the go between the board and the
organization
Set policies to ensure that the care offered by the organization is
safe and a good quality.
Provide rehabilitation and help to people in the hospital.
8. Describe the implications of the FMLA on employer obligations regarding
health insurance premiums during an employee's leave of absence.
Employers must continue to pay the employee's salary during FMLA
leave.
Employers must pay the full premium during FMLA leave.
Employers can choose to pay half of the premium during FMLA leave.
Employers are not required to pay for health insurance premiums
during an employee's FMLA leave if the employee is responsible for
those payments.
9. What term describes the phenomenon where an employee only
acknowledges positive feedback from a supervisor?
Self-protection
Information overload
The filter effect
, Selective hearing
10. What is a required component of a care plan for a resident on psychotropic
medications?
Nutritional assessments
Behaviors interventions
Physical therapy goals
Disciplinary measures
11. Why is it important for an administrator to refuse access to a resident's clinical
record if the resident objects?
It is important to respect the resident's privacy and confidentiality
rights.
The children have a legal right to access the records regardless of the
resident's wishes.
The administrator must prioritize the family's wishes over the resident's
consent.
The attending physician should always make the decision regarding
record access.
12. Who are the primary beneficiaries of standard precautions in nursing
facilities?
Visitors
External contractors
Families
Employees and residents