Nokea
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.
You may also like to solve these questions
When the decision is made with the family to place the patient on hospice care, the home health nurse explains that the reimbursement changes from 'fee per visit' to 'fee per
Correct Answer: diem
Rationale: Medicare-supported hospice care is billed on a fee per diem.
Complete documentation is essential and must include an accurate picture of the type and quality of care given, as well as the effectiveness of the plan of care. Which model should be followed to best provide adequate documentation?
- A. Caretaker
- B. Nursing process
- C. Home health care
- D. Nursing efficiency
Correct Answer: B
Rationale: Documentation that follows the nursing process model provides an accurate picture of the type and quality of care.
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.
Because many illnesses are now controlled rather than cured, the number of people with chronic, debilitating illnesses has increased. What do home care nurses prevent by providing?
- A. Deaths
- B. Increased morbidity
- C. Increased hospitalization
- D. Acute episodes
Correct Answer: D
Rationale: Home care provides assessment and evaluation of chronic illnesses to prevent acute episodes.
How often must the home care treatment plan be recertified in order for the patient to continue to receive services?
- A. Every 3 days
- B. Every 60 days
- C. Every 10 days
- D. Every 2 weeks
Correct Answer: B
Rationale: Medicare and Medicaid home care services are based on the medical model of treatment and depend on the health care provider for entry into the formalized system. Medicare requires a plan of treatment signed by the health care provider, outlining all disciplines, treatment, frequency, and duration. These orders must be recertified every 60 days.