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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.
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The nurse should provide the patient and family with accurate health information concerning diagnoses and progress. What will accurate information help the family to become?
- A. Active participants
- B. Effective caregivers
- C. Encouraged supporters
- D. Active providers
Correct Answer: B
Rationale: Providing accurate information about the diagnosis and progress helps the family to be effective caregivers.
The nurse describes a new technological service to the patient that will monitor several assessments remotely. This new intervention is known as services.
Correct Answer: telehealth
Rationale: A newer method of home care delivery is telehealth services. This approach allows for patient and care provider interaction and monitoring using telephone, computers, television, and two-way monitors.
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.
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.
When should discharge planning begin for a patient receiving home care services?
- A. A week before discharge
- B. Two days before discharge
- C. The day of discharge
- D. On admission
Correct Answer: D
Rationale: Discharge planning for home care begins on admission.