Nokea
Medicare will not cover home health aide visits for the sole reason of:
- A. Physical assistance
- B. Health care provider orders
- C. Personal care
- D. Household chores
Correct Answer: D
Rationale: Medicare will not pay for visits made solely for household chores.
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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 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.
How long is the average home health care visit by the skilled nurse?
- A. 10 to 15 minutes
- B. 20 to 30 minutes
- C. 30 to 45 minutes
- D. 45 to 60 minutes
Correct Answer: C
Rationale: Skilled nursing visits typically take 30 to 45 minutes.
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.
Speech therapy goals include minimizing speech disorders and maximizing rehabilitation of speech abilities. To be reimbursed by Medicare, who must provide these services?
- A. Bachelor's-level clinician
- B. Speech therapist
- C. Master's-level clinician
- D. Physiatrist
Correct Answer: C
Rationale: To be reimbursed by Medicare, speech therapy must be provided by a master's-prepared clinician. Other payers will sometimes reimburse services provided by a bachelor's-level clinician.