1.
An individual may qualify for Medicare home health services if:
Correct Answer
D. All of the above
Explanation
An individual may qualify for Medicare home health services if they are homebound, the skilled services are medically reasonable and necessary, and the attending physician has ordered the therapeutic services. This means that all three criteria must be met in order for an individual to qualify for Medicare home health services. Being homebound ensures that the individual requires the services to be provided at home, while the medical necessity and physician's order ensure that the services are appropriate and needed for the individual's condition. Therefore, the correct answer is all of the above.
2.
Changes in the plan of care (POC), such as increasing the frequency of therapeutic visits, must be communicated to the patient and documented accordingly in the clinical record.
Correct Answer
A. True
Explanation
Changes in the plan of care, such as increasing the frequency of therapeutic visits, need to be communicated to the patient to ensure they are aware of the updated treatment plan. Additionally, documenting these changes in the clinical record is important for maintaining accurate and up-to-date patient information, facilitating continuity of care, and providing a legal record of the care provided. This helps healthcare professionals track the progress of the patient's treatment and make informed decisions about their ongoing care. Therefore, it is crucial to communicate and document any changes in the plan of care to ensure effective and coordinated patient care.
3.
The physician must be informed of missed therapeutic visits.
Correct Answer
A. True
Explanation
It is important to inform the physician about missed therapeutic visits because they need to be aware of any gaps in the patient's treatment. This information can help the physician assess the effectiveness of the therapy and make any necessary adjustments to the treatment plan. Additionally, missed visits may indicate non-compliance or other issues that need to be addressed for the patient's well-being. Therefore, it is crucial to communicate these missed visits to the physician.
4.
The duration of a plan of care (POC) certification period:
Correct Answer
A. May be up to 60 days.
Explanation
The duration of a plan of care (POC) certification period may be up to 60 days. This means that the certification period can range from a minimum of one week to a maximum of 60 days. It should never be less than one week, and it must be at least one month. However, it can also extend up to 60 days if necessary.
5.
A patient who ]eaves their residence frequently for nonmedical purposes is:
Correct Answer
B. Only considered homebound if it is a taxable effort to leave their residence.
6.
A Licensed Practical Nurse (LPN) may:
Correct Answer
B. Take a pHysician's verbal order if allowed by agency policies and procedures.
Explanation
LPNs are trained healthcare professionals who work under the supervision of registered nurses or physicians. They are responsible for providing basic nursing care to patients. Taking a physician's verbal order if allowed by agency policies and procedures is within the scope of an LPN's responsibilities. This means that if the agency's policies and procedures permit, an LPN can receive and carry out instructions given by a physician verbally. However, it is important to note that this may vary depending on the specific state regulations and the policies of the healthcare facility.
7.
A skilled therapeutic service (nursing, physical therapy or speech therapy) is required in order for an individual to qualify for Medicare home health services:
Correct Answer
A. True
Explanation
In order for an individual to qualify for Medicare home health services, they must require a skilled therapeutic service such as nursing, physical therapy, or speech therapy. This means that the individual must have a medical need for these services and they must be provided by a skilled professional. Without the need for a skilled therapeutic service, the individual would not meet the qualifications for Medicare home health services. Therefore, the statement "True" is the correct answer.
8.
The 485 plan of care (POC) must identify the following EXCEPT:
Correct Answer
B. The patient's caregiver information
Explanation
The 485 plan of care (POC) is a document that outlines the specific care and services that a patient requires. It includes information about appropriate therapeutic interventions, individualized and measurable goals, and the attending physician's signature. However, it does not need to include the patient's caregiver information. This information is typically included in other parts of the patient's medical record or in separate caregiver documentation.
9.
If nursing home health visits are planned beyond twenty-one (21) days, the plan of care (POC) or clinical record must include a predictable end point determination:
Correct Answer
A. True
Explanation
If nursing home health visits are planned beyond twenty-one (21) days, the plan of care or clinical record must include a predictable end point determination. This means that if a patient is receiving care in a nursing home for more than 21 days, there must be a clear plan in place for when the care will end. This is important for ensuring that the patient's needs are being met and that they are receiving appropriate and timely care.
10.
During the initial certification for home health services, a skilled therapeutic service (nursing, physical therapy, or speech therapy) is required in order for the individual to qualify for home health aide or medical social services.
Correct Answer
A. True
Explanation
In order for an individual to qualify for home health aide or medical social services, a skilled therapeutic service such as nursing, physical therapy, or speech therapy is required during the initial certification for home health services. This means that the individual must receive one of these services in order to be eligible for the additional services provided by home health aides or medical social workers.
11.
Home health aide services, where the patient is also receiving skilled care, must be supervised in the patient's residence:
Correct Answer
B. Every two (2) weeks by the appropriate professional
Explanation
Home health aide services, when the patient is also receiving skilled care, must be supervised in the patient's residence every two weeks by the appropriate professional. This means that a qualified professional, such as a registered nurse, must visit the patient's home every two weeks to oversee and evaluate the home health aide services being provided. Regular supervision ensures that the patient is receiving the necessary care and that the home health aide is performing their duties effectively. This helps to maintain the quality of care and ensure the patient's well-being.
12.
OASIS is:
Correct Answer
C. A comprehensive assessment
Explanation
OASIS stands for Outcome and Assessment Information Set, which is a comprehensive assessment tool used in the healthcare industry. It is a standardized set of data elements that are collected for all patients receiving home health care services. The OASIS assessment helps to evaluate the patient's health status, functional abilities, and care needs. It provides important information for planning and delivering appropriate and effective care. Therefore, the correct answer is "A comprehensive assessment."
13.
An individual attending a licensed I certified adult day care center for therapeutic, psychosocial or medical treatment purposes is generally considered to be homebound and eligible for Medicare home health services.
Correct Answer
A. True
Explanation
An individual attending a licensed or certified adult day care center for therapeutic, psychosocial, or medical treatment purposes is generally considered to be homebound and eligible for Medicare home health services. This is because even though they are attending the day care center, they still require medical treatment and supervision, which indicates that they have limited mobility and are unable to leave their home without assistance. Therefore, they meet the criteria for being considered homebound and are eligible for Medicare home health services.
14.
A physician's order is required for all of the following actions except:
Correct Answer
B. Missed visits
Explanation
Missed visits do not require a physician's order because they are not an action that is being performed. Instead, missed visits refer to appointments that were scheduled but not attended by the patient. The other actions mentioned in the question, such as increasing the frequency of visits, providing treatment, and administering medication, all involve direct actions that require a physician's order to ensure proper care and treatment.
15.
The duration of a therapeutic visit must:
Correct Answer
D. Include all appropriate interventions identified in the plan of care (POC).
Explanation
The correct answer is "Include all appropriate interventions identified in the plan of care (POC)". This means that during a therapeutic visit, all the interventions that have been identified in the plan of care must be included. These interventions are specific actions or treatments that have been determined to be necessary for the patient's care. It is important to follow the plan of care to ensure that the patient receives the appropriate interventions and that their needs are met effectively.
16.
A medical social worker may conduct an individual's initial assessment and evaluation for Medicare home health services.
Correct Answer
B. False
Explanation
False. A medical social worker may assist with the assessment and evaluation process, but they are not typically responsible for conducting the individual's initial assessment and evaluation for Medicare home health services. This task is usually performed by a qualified healthcare professional, such as a nurse or therapist, who is trained to assess the individual's medical condition and determine their eligibility for home health services. The medical social worker may play a supportive role by providing psychosocial support and coordinating services, but they do not typically conduct the assessment and evaluation themselves.
17.
OASIS assessments measure:
Correct Answer
B. Outcomes
Explanation
OASIS assessments measure outcomes. Outcomes refer to the results or effects of healthcare interventions on patients' health status and quality of life. OASIS assessments are used to evaluate the effectiveness of healthcare services and interventions provided to patients. By measuring outcomes, healthcare providers can assess the impact of their interventions and make necessary adjustments to improve patient care.
18.
An OASIS assessment must be conducted on the following patients:
Correct Answer
D. Patients receiving skilled care
Explanation
Patients receiving skilled care must undergo an OASIS assessment because this assessment is specifically designed to evaluate the functional abilities and needs of patients who require skilled care. Skilled care refers to medical treatments and services provided by healthcare professionals, such as nurses or therapists, to manage and treat a patient's condition. The OASIS assessment helps to determine the patient's eligibility for home health services and guides the development of a personalized care plan. Assessing patients receiving skilled care ensures that they receive appropriate and necessary support to improve their health outcomes and maintain their independence.