NAB-NHA line of service
How often must the drug regimen be re-
Monthly, Licensed pharmacist (F756)
viewed and by who?
Up to how many hours can elapse
between a substantial even meal and
14, 16 (F809)
breakfast and how many hours if they've
been given a substantial HS snack?
A dietitian under the supervision of a
Who can write dietary orders? physician and is acting within the scope
of practice. (F715)
Resident Assessment Instrument - Facil-
ity staff will use the RAI to gather informa-
What is RAI? tion, address each resident's needs and
goals, and monitor the planned interven-
tions' results.
How often is a Care Conference held? At least monthly
Minimum Data Set (MDS) - a core set
of clinical and functional status elements,
and it forms the foundation of the com-
prehensive assessment for all residents
What is The MDS?
of long-term care facilities certified to
participate in Medicare and Medicaid.
The MDS is part of the Resident Assess-
ment Instrument (RAI)
When must the resident assessment be Within 14 days of admission and no less
submitted? than every 12 months (F636)
resident may self-administer medication
The Code of Federal Regulations (CFR)
if the interdisciplinary team determines
related to self administered medications
that it is safe for the resident to do so.
state that the:
(F554)
What agency must approve a facility's
The State Agency
use of paid feeding assistants?
The coordination of care in the nursing
Medical Director
facility is the responsibility of the:
Who must conduct or coordinate each
Registered Nurse
assessment with the appropriate of
, NAB-NHA line of service
health professionals in the nursing facili-
ty?
Which of the following drug administra-
tion programs most effectively increas-
es nursing efficiency, saves money, re- Unit-dose drug distribution system
duces waste, and minimizes preparation
errors?
How long should medical record be 5 years from the date of service and 3
kept? years for a minor
In order to be an active, legal document, Signed by both the individual named in
a DNR must be? the order as well as their physician.
The resident's assessment and include
Activities/Psychosocial Needs - Care
the resident's choices, personal beliefs,
plan interventions for activities must be
interests, ethnic/cultural practices and
based on?
spiritual values, as appropriate.
What is PDPMP? e Patient Driven Payment Model
Improves payment accuracy and ap-
propriateness by focusing on the pa-
tient, rather than the volume of ser-
How does PDPM improve payments to vices provided, Significantly reduces ad-
SNF's? ministrative burden on providers, & Im-
proves SNF payments to currently under-
served beneficiaries without increasing
total Medicare payments
Under RUG-IV, the number of PT, OT,
and SLP therapy treatment minutes are
How is RUG-IV different from PDPM? combined for a total number of treatment
minutes that is used to classify a given
patient into a given therapy RUG
What is CB? Consolidated Billing
Medicare Administrative Contractor,
What is MAC? where Medicare payments are made
through.
Medicare-certified SNF Skilled care ser-
What does Medicare Part A cover?
vices.
What is the maximum amount of days
Medicare part A covers for SNF ser-
vices?
, NAB-NHA line of service
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''
A 3-day period beginning on the first
How long is the Medicare Part A interrup- non-covered day after a part A covered
tion period? SNF stay and ending at 11:59 PM on the
third consecutive non-covered day.
A method of reimbursement in which
What is a Prospective Payment Sys-
Medicare payment is made based on a
tems?
predetermined, fixed amount.
Fee-for-service is a system of health
care payment in which a provider is paid
What is Medicare Fee-for-Service?
separately for each particular service
rendered.
Linking provider payments to improved
performance by health care providers.
The SNF VBP Program is a Centers for
Medicare & Medicaid Services (CMS)
What is value-based purchasing?
program that awards incentive payments
to SNFs based on their performance on
a single measure of all-cause hospital
readmissions.
A SNF must prepare annual consolidat-
ed financial statements of related entities
What are the SNF financial reporting re-
and have those statements reviewed by
quirements?
a Certified Public Accountant (CPA), un-
less already audited.
How often must Medicare-certified insti-
tutional providers are required to submit
Annually
a cost report to a Medicare Administra-
tive Contractor (MAC).
Provider information such as facility char-
What must a cost report contain that is
acteristics, utilization data, cost and
being submitted to Medicare?
charges by cost center (in total and
How often must the drug regimen be re-
Monthly, Licensed pharmacist (F756)
viewed and by who?
Up to how many hours can elapse
between a substantial even meal and
14, 16 (F809)
breakfast and how many hours if they've
been given a substantial HS snack?
A dietitian under the supervision of a
Who can write dietary orders? physician and is acting within the scope
of practice. (F715)
Resident Assessment Instrument - Facil-
ity staff will use the RAI to gather informa-
What is RAI? tion, address each resident's needs and
goals, and monitor the planned interven-
tions' results.
How often is a Care Conference held? At least monthly
Minimum Data Set (MDS) - a core set
of clinical and functional status elements,
and it forms the foundation of the com-
prehensive assessment for all residents
What is The MDS?
of long-term care facilities certified to
participate in Medicare and Medicaid.
The MDS is part of the Resident Assess-
ment Instrument (RAI)
When must the resident assessment be Within 14 days of admission and no less
submitted? than every 12 months (F636)
resident may self-administer medication
The Code of Federal Regulations (CFR)
if the interdisciplinary team determines
related to self administered medications
that it is safe for the resident to do so.
state that the:
(F554)
What agency must approve a facility's
The State Agency
use of paid feeding assistants?
The coordination of care in the nursing
Medical Director
facility is the responsibility of the:
Who must conduct or coordinate each
Registered Nurse
assessment with the appropriate of
, NAB-NHA line of service
health professionals in the nursing facili-
ty?
Which of the following drug administra-
tion programs most effectively increas-
es nursing efficiency, saves money, re- Unit-dose drug distribution system
duces waste, and minimizes preparation
errors?
How long should medical record be 5 years from the date of service and 3
kept? years for a minor
In order to be an active, legal document, Signed by both the individual named in
a DNR must be? the order as well as their physician.
The resident's assessment and include
Activities/Psychosocial Needs - Care
the resident's choices, personal beliefs,
plan interventions for activities must be
interests, ethnic/cultural practices and
based on?
spiritual values, as appropriate.
What is PDPMP? e Patient Driven Payment Model
Improves payment accuracy and ap-
propriateness by focusing on the pa-
tient, rather than the volume of ser-
How does PDPM improve payments to vices provided, Significantly reduces ad-
SNF's? ministrative burden on providers, & Im-
proves SNF payments to currently under-
served beneficiaries without increasing
total Medicare payments
Under RUG-IV, the number of PT, OT,
and SLP therapy treatment minutes are
How is RUG-IV different from PDPM? combined for a total number of treatment
minutes that is used to classify a given
patient into a given therapy RUG
What is CB? Consolidated Billing
Medicare Administrative Contractor,
What is MAC? where Medicare payments are made
through.
Medicare-certified SNF Skilled care ser-
What does Medicare Part A cover?
vices.
What is the maximum amount of days
Medicare part A covers for SNF ser-
vices?
, NAB-NHA line of service
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''
A 3-day period beginning on the first
How long is the Medicare Part A interrup- non-covered day after a part A covered
tion period? SNF stay and ending at 11:59 PM on the
third consecutive non-covered day.
A method of reimbursement in which
What is a Prospective Payment Sys-
Medicare payment is made based on a
tems?
predetermined, fixed amount.
Fee-for-service is a system of health
care payment in which a provider is paid
What is Medicare Fee-for-Service?
separately for each particular service
rendered.
Linking provider payments to improved
performance by health care providers.
The SNF VBP Program is a Centers for
Medicare & Medicaid Services (CMS)
What is value-based purchasing?
program that awards incentive payments
to SNFs based on their performance on
a single measure of all-cause hospital
readmissions.
A SNF must prepare annual consolidat-
ed financial statements of related entities
What are the SNF financial reporting re-
and have those statements reviewed by
quirements?
a Certified Public Accountant (CPA), un-
less already audited.
How often must Medicare-certified insti-
tutional providers are required to submit
Annually
a cost report to a Medicare Administra-
tive Contractor (MAC).
Provider information such as facility char-
What must a cost report contain that is
acteristics, utilization data, cost and
being submitted to Medicare?
charges by cost center (in total and
