COMPLETE SOLUTIONS LATEST UPDATE
100 PERCENT VERIFIED
⩥ MDS Assessment Dates.
Answer: Assessment dates are 5,14,30,60,90 days, readmission/return,
start of therapy or Other Medicare required, End of therapy and Both
start and end of therapy
⩥ The RUG-IV Classification System
(Has 8 major classification categories).
Answer: 1. Rehabilitation Plus Extensive Services
2. Rehab
3. Extensive Services
4. Special Care High
5. Special Care Low
6. Clinically Complex
7. Behavioral Symptoms and Cognitive Performance Problems
8. Reduced Physical Function
-Besides #3, all the others are further broken down into more categories
based on the intensity of the resident's activities of daily living
#4,5,6 are divided by the presence of depression
,#7,8 are divided by the provision of restorative nursing services
⩥ Medicare Assessments.
Answer: -Establish the Per Diem payment rates for associated standard
payment periods
-ADL score used as a component of the calculation for placement in all
RUG-IV groups
Based on 4 ADLS
1) Bed mobility
2) Transfer
3) Toilet Use
4) Eating
The score is indicated by the level of functional assistance or support
required by the resident
⩥ Era of cost shifting:.
Answer: each player seeks to minimize their own costs at the possible
cost of the other players
-Hospitals to NF
⩥ Kickbacks:.
Answer: -Occur when an effort is made to induce referrals of CMS
whether in cash or in-kind
,Gifts or referring patients to a certain provider (inducement)
⩥ The Civil Rights Act (1964).
Answer: Bans discrimination on the basis of:
Race, color, sex, religion, gender, national origin, pregnancy
1991 Provisions were added protecting against sexual harassment in the
workplace
⩥ The Omnibus Budget Reconciliation Act (OBRA;1987).
Answer: Residents in long-term care should be at their highest level of
physical, psychosocial, and mental functioning in an environment that
emphasizes the rights of residents
⩥ Health Insurance Portability and Accountability Act (1996).
Answer: Protects all individually identifiable health information in
verbal, written, and electronic forms
⩥ Social Security Act Title XIX(19).
Answer: Enacted 1935, amended in 1965
⩥ Family and Medical Leave Act.
Answer: Employers must provide 12 weeks of unpaid leave each year to
qualifying employees for the birth/adoption of a child or to take care of
oneself/immediate family member w/ serious illness
, ⩥ Age Discrimination in Employment Act (1967).
Answer: Prohibits discrimination in employment decisions against
individuals 40 years or older
⩥ Generally Accepted Accounting Principles (GAAP).
Answer: Widely accepted set of rules and standards for reporting
financial information in financial statements
⩥ National Fire Protection Association/ Life Safety Code (NFPA).
Answer: The "Life Safety Code" includes strategies to minimize fire
hazards based on building construction, protection, and occupancy
⩥ Biopsychosocial model of care:.
Answer: Biological, Psychological, Social, and Spiritual
⩥ Role of the Medical Director.
Answer: Provide clinical leadership, ensure that quality care is being
provided using quality, safety and risk management
⩥ Basic Principles of Nursing.
Answer: Holistic approach to optimize, maintain, and improve function,
independence, engagement w/ environment and others to maximize
quality of life