Chapter 36: Home Health Nursing Questions with 100% Correct Answers 2024

Chapter 36: Home Health Nursing Questions with 100% Correct Answers 2024 1. What became effective in 1966 by an act of legislation that revolutionized home care? a. Life insurance b. Medicare c. Private insurance d. Social Security Correct Answer ANS: B When Medicare became effective in 1966, it revolutionized home care by changing it to a medical rather than nursing model of practice, defining and limiting services it would reimburse, and changing the payment source and even changing the reason home care was provided. PTS: 1 DIF: Cognitive Level: Comprehension REF: Page 1165 OBJ: 2 TOP: Home health KEY: Nursing Process Step: N/A 2. A major change to Medicare reimbursement was implemented in 1983. The new system paid a set rate according to diagnosis. What was the new payment system based upon? a. Interim payment systems b. Diagnosis-related groups c. Title XVIII d. Title XIX Correct Answer ANS: B The new payment system introduced in 1983 provided reimbursement based upon set rates that were determined by diagnosis-related groups (DRGs). PTS: 1 DIF: Cognitive Level: Application REF: Page 1165 OBJ: 2 TOP: Home health KEY: Nursing Process Step: N/A 3. How often must the homecare 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 ANS: B Medicare and Medicaid home care services are based on the medical model of treatment and depend on the physician for entry into the formalized system. Medicare requires a plan of treatment signed by the physician, outlining all disciplines, treatment, frequency, and duration. These orders must be recertified every 60 days.