NAB Exam - CORE
Residency Agreement - correct answer-Written, legally enforceable agreement between a
facility and an individual (or their legal representative) who is receiving services in a care
residential setting
Service Plan - correct answer-Written, individualized plan for services developed by a
service planning team and the care recipient or the care recipient's legal representative, that
reflects the care recipient capabilities, choices, and if necessary, applicable, measurable
goals, and managed risk issues
Risk Agreement - correct answer-Process where a care recipient's high-risk behavior or
choices are reviewed with the care recipient. Alternatives to and consequences of the
behavior or choices are explained to the care recipient and the care recipient's decision to
modify behavior or accept the consequences is documented.
Pediatric home health care - correct answer-Home health care that is provided to children
with illnesses and special needs.
Data Assessment and Verification (DAVE) - correct answer-Program administered by CMS
designed to ensure accuracy of MDS data accomplished through data analysis, off-site
review, on-site review, and provider education.
Case Mix - correct answer-A system that uses residents (patient) attributes (e.g. functional
status in ADLs or cognitive abilities) to classify residents (patients) for purposes such as
reimbursement OR a measure of the intensity of care and services used by a group of
residents in a nursing facility.
Resource Utilization Groups (RUGs) - correct answer-A collection of nursing facility care
recipient classification systems used in a variety of case mix indexed reimbursement
systems. Using assessment tools like the MDS 3.0, these systems group care recipients by
expected level of resource utilization, usually based upon staff time measurements per care
recipient per day.
Substantial Compliance - correct answer-Minor deficiencies or violations, but a facility
generally meets the intent of federal or state regulations. On the Federal Enforcement Grid,
this equates to boxes A-C.
Nursing Home Quality Improvement Initiative - correct answer-A program of CMS and the
U.S, Department of Health and Human Services that compiles information about nursing
home care recipients on eight situations/conditions called quality measures (QM) and makes
the information available to consumers.
Bed Hold Policy - correct answer-In skilled nursing facilities, the length of time the facility will
hold a resident's bed in case he or she has to leave the facility for care elsewhere, such as a
hospital, or for any other reason.
Residency Agreement - correct answer-Written, legally enforceable agreement between a
facility and an individual (or their legal representative) who is receiving services in a care
residential setting
Service Plan - correct answer-Written, individualized plan for services developed by a
service planning team and the care recipient or the care recipient's legal representative, that
reflects the care recipient capabilities, choices, and if necessary, applicable, measurable
goals, and managed risk issues
Risk Agreement - correct answer-Process where a care recipient's high-risk behavior or
choices are reviewed with the care recipient. Alternatives to and consequences of the
behavior or choices are explained to the care recipient and the care recipient's decision to
modify behavior or accept the consequences is documented.
Pediatric home health care - correct answer-Home health care that is provided to children
with illnesses and special needs.
Data Assessment and Verification (DAVE) - correct answer-Program administered by CMS
designed to ensure accuracy of MDS data accomplished through data analysis, off-site
review, on-site review, and provider education.
Case Mix - correct answer-A system that uses residents (patient) attributes (e.g. functional
status in ADLs or cognitive abilities) to classify residents (patients) for purposes such as
reimbursement OR a measure of the intensity of care and services used by a group of
residents in a nursing facility.
Resource Utilization Groups (RUGs) - correct answer-A collection of nursing facility care
recipient classification systems used in a variety of case mix indexed reimbursement
systems. Using assessment tools like the MDS 3.0, these systems group care recipients by
expected level of resource utilization, usually based upon staff time measurements per care
recipient per day.
Substantial Compliance - correct answer-Minor deficiencies or violations, but a facility
generally meets the intent of federal or state regulations. On the Federal Enforcement Grid,
this equates to boxes A-C.
Nursing Home Quality Improvement Initiative - correct answer-A program of CMS and the
U.S, Department of Health and Human Services that compiles information about nursing
home care recipients on eight situations/conditions called quality measures (QM) and makes
the information available to consumers.
Bed Hold Policy - correct answer-In skilled nursing facilities, the length of time the facility will
hold a resident's bed in case he or she has to leave the facility for care elsewhere, such as a
hospital, or for any other reason.
