Nokea
A major change to Medicare reimbursement was implemented in 1983. The new system paid a set rate according to diagnosis. What was the new payment system based upon?
- A. Interim payment systems
- B. Diagnosis-related groups
- C. Title XVIII
- D. Title XIX
Correct Answer: B
Rationale: The new payment system introduced in 1983 provided reimbursement based upon set rates that were determined by diagnosis-related groups (DRGs).
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The evaluation and admission process for entry to the home health care system includes physical and psychosocial examination, explanation of the patient's rights, and evaluation of family, home, and nursing interventions. What is the normal minimum time for the admission visit?
- A. 30 minutes
- B. 1 hour
- C. 2 hours
- D. 3 hours
Correct Answer: B
Rationale: The admission process typically takes a minimum of 1 hour.
Medical social services focus on the emotional and social aspects of illness. What is another area of service?
- A. Home problems
- B. Marriage problems
- C. Crisis intervention
- D. Work problems
Correct Answer: C
Rationale: Coping with stress and crisis intervention are also part of medical social workers' services.
The licensed nurse can delegate which tasks to the home health assistive personnel?
- A. Bathing the patient
- B. Assessing ability to void
- C. Administering an injection
- D. Teaching about medications
Correct Answer: A
Rationale: Bathing the patient is a task that can be delegated safely to the home health assistive personnel. Home health assistive personnel cannot assess, teach, or administer injections.
For physical therapy services to be reimbursed by Medicare, what must be the goal of the therapy?
- A. Preventive
- B. Restorative
- C. Maintenance
- D. Educational
Correct Answer: B
Rationale: The goals of treatment must be restorative in order for Medicare to provide reimbursement. In some cases, the goals can be preventive or maintenance for other payer sources.
The patient, family, social service agency, hospital, health care provider, or another agency all can provide the entry point to the home health care system. What is the entry point for the home health care system called?
- A. Recommendation
- B. Survey
- C. Referral
- D. In-taking
Correct Answer: C
Rationale: The entry point for home health care system is by referral. This can come from the patient, family, social service agency, hospital, health care provider, or another agency.