Review for Exam 3Chapters 10-13Who determines how long-term care facilities are reimbursed under the Medicaid program?The individualstateagency throughstate legislationThe individual state agency through state legislationThe federal Medicaid BureauCongress Show Question21 / 1pointDeveloped by an interdisciplinary team, the ________________________ includes measurableobjectives and timetables to meet a resident’s medical, nursing, mental, and psychosocialneeds. Get answer to your question and much more Question31 / 1pointThe ____________________________ (is/are) a core setof screening and assessment elements, including commondefinitions and coding categories forming the foundation ofthe comprehensive resident assessment of residents in long-term care facilities, such as skillednursing facilities (SNFs). Get answer to your question and much more minimum data setcare planQuestion41 / 1pointWhich of the following provide(s) structure for assessing social, medical, and psychologicalproblems by providing a systemized method of reviewing key components ofthe minimum data set and directing caregivers to evaluate causes,interrelationships, and particular strengths that affect development of the care plan? Get answer to your question and much more Question51 / 1pointWhen a care area is triggered, the long-term care interdisciplinary team documents theoutcome of the assessment process for that particular care area and ___________________.the expected resource utilization group into which the resident’s stay will fallculture change issues to be addressed before the next OBRA assessmenttheirdecisionregardingcare planningfor a particular problem orneeda comprehensive assessment for each care area every 14 days. Question61 / 1pointMedicare Part A coverage is limited in that a long-term care resident must first qualify with aminimum of a _____ hospital stay. Get answer to your question and much more 3-dayQuestion71 / 1pointThe duration of skilled nursing facility Medicare Part A coverage is limited to the need fordaily skilled care up to a maximum of _____ days per spell of illness. Get answer to your question and much more Question81 / 1pointThe resource utilization group (RUG) that applies to a given resident is based on__________________. Get answer to your question and much more Question91 / 1pointThe phraseprivate payin the long-term care setting denotes payment by _______________.the individual orfamilycommercial insuranceMedicare or Medicaida managed care plan Question 101 / 1pointIn long-term care,CPTcodes are used most commonly to bill for: Get answer to your question and much more Question 111 / 1pointWhich of the following is a facility in which the majority of patients are regarded aspermanent residents? Upload your study docs or become a Course Hero member to access this document Upload your study docs or become a Course Hero member to access this document End of preview. Want to read all 37 pages? Upload your study docs or become a Course Hero member to access this document Which two primary agencies regulate long term care facilities?What are the two primary agencies that regulate long-term-care facilities? Answer: The Centers for Medicare and Medicaid Services at the federal level and • The state agency at the state level.
Which agency regulates long term care facilities quizlet?The two primary agencies that regulate long term care facilities are CMS at the federal level and the state agency at the state level.
What type of organization develops standards for ambulatory care?The Joint Commission is a non-governmental, not-for-profit organization. Beginning in 1975, The Joint Commission established the Ambulatory Health Care Accreditation Program to encourage safe, high quality patient care in all types of freestanding ambulatory care facilities.
Which situation would qualify an individual for receiving benefits from a qualified long term policy?Under most long-term care policies, you're eligible for benefits when you can't do at least two out of six “activities of daily living,” called ADLs, on your own or you suffer from dementia or other cognitive impairment. The activities of daily living are: Bathing. Caring for incontinence.
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Who determines how long-term care facilities are reimbursed under the medicaid program?
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