NAB NHA - LINE OF SERVICE EXAM WITH 200+ QUESTIONS AND CORRECT
ANSWERS|GUARANTEED PASS!!
1. How often must the drug regimen be reviewed and by who?ANSWER Monthly, Li-
censed pharmacist (F756)
2. Up to how many hours can elapse betweenMn#$%^&*(
a substantial even meal and breakfast and
how many hours if they've been given a substantial HS snack?-
ANSWER 14, 16 (F809)
3. Who can write dietary orders?ANSWER A dietitian under the supervision of a physician
and is acting within the scope of practice. (F715)
4. What is RAI?ANSWER Resident Assessment Instrument - Facility staff will use the
RAI to gather information, address each resident's needs and goals, and monitor the
planned interventions' results.
5. How often is a Care Conference held?ANSWER At least monthly
6. What is The MDS?ANSWER Minimum Data Set (MDS) - a core set of clinical and
function- al status elements, and it forms the foundation of the comprehensive assessment
for all residents of long-term care facilities certified to participate in Medicare and
Medicaid. The MDS is part of the Resident Assessment Instrument (RAI)
7. When must the resident assessment be submitted?ANSWER Within 14 days of admis-
sion and no less than every 12 months (F636)
8. The Code of Federal Regulations (CFR) related to self administered medica- tions state
that theANSWERANSWER resident may self-administer medication if the interdisciplinary
team determines that it is safe for the resident to do so. (F554)
9. What agency must approve a facility's use of paid feeding assistants?ANSWER The
State Agency
10. The coordination of care in the nursing facility is the responsibility of
theANSWERANSWER Medical Director
11. Who must conduct or coordinate each assessment with the appropriate of health
professionals in the nursing facility?ANSWER Registered Nurse
12. Which of the following drug administration programs most effectively increases
nursing efficiency, saves money, reduces waste, and minimizes preparation
errors?ANSWER Unit-dose drug distribution system
,13. How long should medical record be kept?ANSWER 7 years from the date of service
14. In order to be an active, legal document, a DNR must be?ANSWER Signed by both
the individual named in the order as well as their physician.
15. Activities/Psychosocial Needs - Care plan interventions for activities must be based
on?ANSWER The resident's assessment and include the resident's choices, per- sonal
beliefs, interests, ethnic/cultural practices and spiritual values, as appropriate.
16. What is PDPMP?ANSWER e Patient Driven Payment Model
17. How does PDPM improve payments to SNF's?ANSWER Improves payment accuracy
and appropriateness by focusing on the patient, rather than the volume of services
provided, Significantly reduces administrative burden on providers, & Improves SNF
, payments to currently underserved beneficiaries without increasing total Medicare payment
18. How is RUG-IV different from PDPM?ANSWER Under RUG-IV, the number of PT,
OT, and SLP therapy treatment minutes are combined for a total number of treatment
minutes that is used to classify a given patient into a given therapy RUG
19. What is CB?ANSWER Consolidated Billing
20. What is MAC?ANSWER Medicare Administrative Contractor, where Medicare
payments are made through.
21. What does Medicare Part A cover?ANSWER Medicare-certified SNF Skilled care ser-
vices.
22. What is the maximum amount of days Medicare part A covers for SNF
services?ANSWER Up to 100 days of SNF care per benefit period, but it pays the full
amount only for the first 20 days. For each day from the 21st through the 100th, the
beneficiary must pay the ''coinsurance''
23. How long is the Medicare Part A interruption period?ANSWER A 3-day period begin-
ning on the first non-covered day after a part A covered SNF stay and ending at
11ANSWER59 PM on the third consecutive non-covered day.
24. What is a Prospective Payment Systems?ANSWER A method of reimbursement in
which Medicare payment is made based on a predetermined, fixed amount.
25. What is Medicare Fee-for-Service?ANSWER Fee-for-service is a system of health care
payment in which a provider is paid separately for each particular service rendered.
26. What is value-based purchasing?ANSWER Linking provider payments to improved
performance by health care providers. The SNF VBP Program is a Centers for
Medicare & Medicaid Services (CMS) program that awards incentive payments to
SNFs based on their performance on a single measure of all-cause hospital
readmissions.
27. What are the SNF financial reporting requirements?ANSWER A SNF must prepare
annual consolidated financial statements of related entities and have those state- ments
reviewed by a Certified Public Accountant (CPA), unless already audited.
28. How often must Medicare-certified institutional providers are required to submit a cost
report to a Medicare Administrative Contractor (MAC).ANSWER Annually
ANSWERS|GUARANTEED PASS!!
1. How often must the drug regimen be reviewed and by who?ANSWER Monthly, Li-
censed pharmacist (F756)
2. Up to how many hours can elapse betweenMn#$%^&*(
a substantial even meal and breakfast and
how many hours if they've been given a substantial HS snack?-
ANSWER 14, 16 (F809)
3. Who can write dietary orders?ANSWER A dietitian under the supervision of a physician
and is acting within the scope of practice. (F715)
4. What is RAI?ANSWER Resident Assessment Instrument - Facility staff will use the
RAI to gather information, address each resident's needs and goals, and monitor the
planned interventions' results.
5. How often is a Care Conference held?ANSWER At least monthly
6. What is The MDS?ANSWER Minimum Data Set (MDS) - a core set of clinical and
function- al status elements, and it forms the foundation of the comprehensive assessment
for all residents of long-term care facilities certified to participate in Medicare and
Medicaid. The MDS is part of the Resident Assessment Instrument (RAI)
7. When must the resident assessment be submitted?ANSWER Within 14 days of admis-
sion and no less than every 12 months (F636)
8. The Code of Federal Regulations (CFR) related to self administered medica- tions state
that theANSWERANSWER resident may self-administer medication if the interdisciplinary
team determines that it is safe for the resident to do so. (F554)
9. What agency must approve a facility's use of paid feeding assistants?ANSWER The
State Agency
10. The coordination of care in the nursing facility is the responsibility of
theANSWERANSWER Medical Director
11. Who must conduct or coordinate each assessment with the appropriate of health
professionals in the nursing facility?ANSWER Registered Nurse
12. Which of the following drug administration programs most effectively increases
nursing efficiency, saves money, reduces waste, and minimizes preparation
errors?ANSWER Unit-dose drug distribution system
,13. How long should medical record be kept?ANSWER 7 years from the date of service
14. In order to be an active, legal document, a DNR must be?ANSWER Signed by both
the individual named in the order as well as their physician.
15. Activities/Psychosocial Needs - Care plan interventions for activities must be based
on?ANSWER The resident's assessment and include the resident's choices, per- sonal
beliefs, interests, ethnic/cultural practices and spiritual values, as appropriate.
16. What is PDPMP?ANSWER e Patient Driven Payment Model
17. How does PDPM improve payments to SNF's?ANSWER Improves payment accuracy
and appropriateness by focusing on the patient, rather than the volume of services
provided, Significantly reduces administrative burden on providers, & Improves SNF
, payments to currently underserved beneficiaries without increasing total Medicare payment
18. How is RUG-IV different from PDPM?ANSWER Under RUG-IV, the number of PT,
OT, and SLP therapy treatment minutes are combined for a total number of treatment
minutes that is used to classify a given patient into a given therapy RUG
19. What is CB?ANSWER Consolidated Billing
20. What is MAC?ANSWER Medicare Administrative Contractor, where Medicare
payments are made through.
21. What does Medicare Part A cover?ANSWER Medicare-certified SNF Skilled care ser-
vices.
22. What is the maximum amount of days Medicare part A covers for SNF
services?ANSWER Up to 100 days of SNF care per benefit period, but it pays the full
amount only for the first 20 days. For each day from the 21st through the 100th, the
beneficiary must pay the ''coinsurance''
23. How long is the Medicare Part A interruption period?ANSWER A 3-day period begin-
ning on the first non-covered day after a part A covered SNF stay and ending at
11ANSWER59 PM on the third consecutive non-covered day.
24. What is a Prospective Payment Systems?ANSWER A method of reimbursement in
which Medicare payment is made based on a predetermined, fixed amount.
25. What is Medicare Fee-for-Service?ANSWER Fee-for-service is a system of health care
payment in which a provider is paid separately for each particular service rendered.
26. What is value-based purchasing?ANSWER Linking provider payments to improved
performance by health care providers. The SNF VBP Program is a Centers for
Medicare & Medicaid Services (CMS) program that awards incentive payments to
SNFs based on their performance on a single measure of all-cause hospital
readmissions.
27. What are the SNF financial reporting requirements?ANSWER A SNF must prepare
annual consolidated financial statements of related entities and have those state- ments
reviewed by a Certified Public Accountant (CPA), unless already audited.
28. How often must Medicare-certified institutional providers are required to submit a cost
report to a Medicare Administrative Contractor (MAC).ANSWER Annually
