Nokea
Medicaid pays for home care services for people who have low incomes. Who administers the Medicaid program?
- A. Federal government
- B. City government
- C. State government
- D. County government
Correct Answer: C
Rationale: Medicaid is administered by the state. Medicare is a federal program.
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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.
The LPN/LVN may provide many services to the patient in the home including high-level skills. Under whose supervision should these high-level skills be directed and performed?
- A. Health care provider
- B. Family
- C. Facility supervisor
- D. RN
Correct Answer: D
Rationale: The LPN/LVN must always work under the supervision of an RN.
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.
What is an eligibility requirement for an individual to qualify for Medicare services?
- A. Retired
- B. At least 65 years old
- C. Low-income
- D. Poor health
Correct Answer: B
Rationale: Beneficiaries of service must be at least 65 years of age.
Nurses who work in home settings rather than a hospital setting require a different level of ability to be technically proficient, self-motivated, and innovative. This requires a higher level of what quality?
- A. Knowledge
- B. Performance
- C. Independence
- D. Cooperation
Correct Answer: C
Rationale: The independence of home care practice can be difficult for nurses who depend on the security of the institutional setting.