NAB-NHA LINE OF SERVICE EXAM WITH VERIFIED
ANSWERS
1. How voften vmust vthe vdrug vregimen vbe vreviewed vand vby vwho?:
vMonthly, vLicensed vpharmacist v(F756)
2. Up vto vhow vmany vhours vcan velapse vbetween va vsubstantial veven
vmeal vand vbreakfast vand vhow vmany vhours vif vthey've vbeen vgiven va
vsubstantial vHS vsnack?: v 14, v16 v(F809)
3. Who vcan vwrite vdietary vorders?: vA vdietitian vunder vthe vsupervision vof va vphysician
vand vis vacting vwithin vthe vscope vof vpractice. v(F715)
4. What vis vRAI?: vResident vAssessment vInstrument v- vFacility vstatt vwill vuse vthe vRAI vto vgather
1 v/
v33
,vinformation, vaddress veach vresident's vneeds vand vgoals, vand vmonitor vthe vplanned vinterventions'
vresults.
5. How voften vis va vCare vConference vheld?: vAt vleast vmonthly
6. What vis vThe vMDS?: vMinimum vData vSet v(MDS) v- va vcore vset vof vclinical vand vfunctional
vstatus velements, vand vit vforms vthe vfoundation vof vthe vcomprehensive vassessment vfor vall
vresidents vof vlong-term vcare vfacilities vcertified vto vparticipate vin vMedicare vand vMedicaid. vThe vMDS
vis vpart vof vthe vResident vAssessment vInstrument v(RAI)
7. When vmust vthe vresident vassessment vbe vsubmitted?: vWithin v14 vdays vof
vadmission vand vno vless vthan vevery v12 vmonths v(F636)
8. The v Code v of v Federal v Regulations v (CFR) v related v to v self
v administered v medica- vtions vstate vthat vthe:: vresident vmay vself-administer
vmedication vif vthe vinterdisciplinary vteam vdetermines vthat vit vis vsafe vfor vthe vresident vto vdo vso.
v(F554)
9. What vagency vmust vapprove va vfacility's vuse vof vpaid vfeeding
vassistants?: vThe vState vAgency
10. The v coordination v of v care v in v the v nursing v facility v is v the
v responsibility v of v the:: v -
Medical vDirector
11. Who vmust vconduct vor vcoordinate veach vassessment vwith
vthe vappropriate vof vhealth vprofessionals vin vthe vnursing vfacility?:
vRegistered vNurse
12. Which v of v the v following v drug v administration v programs
v most v effectively v in- vcreases v nursing v efficiency, v saves v money,
v reduces v waste, v and v minimizes v prepa- vration verrors?: vUnit-dose vdrug
vdistribution vsystem
13. How v long v should v medical v record v be v kept?: v 7 vyears vfrom vthe vdate vof
vservice
14. In vorder vto vbe van vactive, vlegal vdocument, va vDNR vmust vbe?: vSigned
vby vboth vthe vindividual vnamed vin vthe vorder vas vwell vas vtheir vphysician.
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,15. Activities/Psychosocial vNeeds v- vCare vplan vinterventions vfor
vactivities vmust vbe vbased v on?: v The vresident's vassessment vand vinclude vthe vresident's
vchoices, vpersonal vbeliefs, vinterests, vethnic/cul- vtural vpractices vand vspiritual vvalues, vas
vappropriate.
16. What vis vPDPMP?: ve vPatient vDriven vPayment vModel
17. How vdoes vPDPM vimprove vpayments vto vSNF's?: vImproves vpayment
vaccuracy vand vappropriate- vness vby vfocusing von vthe vpatient, vrather vthan vthe vvolume vof vservices
vprovided, vSignificantly vreduces vadministrative vburden v on vproviders, v& vImproves vSNF vpayments vto
vcurrently vunderserved vbeneficiaries vwithout vincreasing vtotal vMedicare vpayments
18. How vis vRUG-IV vdifferent vfrom vPDPM?: vUnder vRUG-IV, vthe vnumber vof vPT,
vOT, vand vSLP vtherapy vtreatment vminutes vare vcombined vfor va vtotal vnumber vof vtreatment
vminutes vthat vis vused vto vclassify va vgiven vpatient vinto va vgiven vtherapy vRUG
19. What v is v CB?: v Consolidated vBilling
20. What v is v MAC?: v Medicare vAdministrative vContractor, vwhere vMedicare vpayments vare
vmade vthrough.
21. What vdoes vMedicare vPart vA vcover?: vMedicare-certified vSNF vSkilled vcare
vservices.
22. What v is v the v maximum v amount v of v days v Medicare v part v A
v covers v for v SNF vservices?: vUp vto v100 vdays vof vSNF vcare vper vbenefit vperiod, vbut vit vpays
vthe vfull vamount vonly vfor vthe vfirst v20 vdays. vFor veach vday vfrom vthe v21st vthrough vthe v100th, vthe
vbeneficiary vmust vpay vthe v''coinsurance''
23. How vlong vis vthe vMedicare vPart vA vinterruption vperiod?: vA v3-day
vperiod vbeginning von vthe vfirst vnon-covered vday vafter va vpart vA vcovered vSNF vstay vand vending
vat v11:59 vPM von vthe vthird vconsecutive vnon-covered vday.
24. What vis va vProspective vPayment vSystems?: vA vmethod vof vreimbursement
vin vwhich vMedicare vpayment vis vmade vbased von va vpredetermined, vfixed vamount.
25. What vis vMedicare vFee-for-Service?: vFee-for-service vis va vsystem vof vhealth vcare
vpayment vin vwhich va vprovider vis vpaid vseparately vfor veach vparticular vservice vrendered.
26. What vis vvalue-based vpurchasing?: vLinking vprovider vpayments vto vimproved
vperformance vby vhealth vcare vproviders. vThe vSNF vVBP vProgram vis va vCenters vfor vMedicare v&
vMedicaid vServices v(CMS) vprogram vthat vawards vincentive vpayments vto vSNFs vbased von vtheir
vperformance von va vsingle vmeasure vof vall-cause vhospital vreadmissions.
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, 27. What vare vthe vSNF vfinancial vreporting vrequirements?: vA vSNF
vmust vprepare vannual vcon- vsolidated vfinancial vstatements vof vrelated ventities vand vhave vthose
vstatements vreviewed vby va vCertified vPublic vAccountant v(CPA), vunless valready vaudited.
28. How voften vmust vMedicare-certified vinstitutional vproviders
vare vrequired vto v submit va vcost vreport vto va vMedicare
vAdministrative vContractor v(MAC).: vAnnually
4 v/
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ANSWERS
1. How voften vmust vthe vdrug vregimen vbe vreviewed vand vby vwho?:
vMonthly, vLicensed vpharmacist v(F756)
2. Up vto vhow vmany vhours vcan velapse vbetween va vsubstantial veven
vmeal vand vbreakfast vand vhow vmany vhours vif vthey've vbeen vgiven va
vsubstantial vHS vsnack?: v 14, v16 v(F809)
3. Who vcan vwrite vdietary vorders?: vA vdietitian vunder vthe vsupervision vof va vphysician
vand vis vacting vwithin vthe vscope vof vpractice. v(F715)
4. What vis vRAI?: vResident vAssessment vInstrument v- vFacility vstatt vwill vuse vthe vRAI vto vgather
1 v/
v33
,vinformation, vaddress veach vresident's vneeds vand vgoals, vand vmonitor vthe vplanned vinterventions'
vresults.
5. How voften vis va vCare vConference vheld?: vAt vleast vmonthly
6. What vis vThe vMDS?: vMinimum vData vSet v(MDS) v- va vcore vset vof vclinical vand vfunctional
vstatus velements, vand vit vforms vthe vfoundation vof vthe vcomprehensive vassessment vfor vall
vresidents vof vlong-term vcare vfacilities vcertified vto vparticipate vin vMedicare vand vMedicaid. vThe vMDS
vis vpart vof vthe vResident vAssessment vInstrument v(RAI)
7. When vmust vthe vresident vassessment vbe vsubmitted?: vWithin v14 vdays vof
vadmission vand vno vless vthan vevery v12 vmonths v(F636)
8. The v Code v of v Federal v Regulations v (CFR) v related v to v self
v administered v medica- vtions vstate vthat vthe:: vresident vmay vself-administer
vmedication vif vthe vinterdisciplinary vteam vdetermines vthat vit vis vsafe vfor vthe vresident vto vdo vso.
v(F554)
9. What vagency vmust vapprove va vfacility's vuse vof vpaid vfeeding
vassistants?: vThe vState vAgency
10. The v coordination v of v care v in v the v nursing v facility v is v the
v responsibility v of v the:: v -
Medical vDirector
11. Who vmust vconduct vor vcoordinate veach vassessment vwith
vthe vappropriate vof vhealth vprofessionals vin vthe vnursing vfacility?:
vRegistered vNurse
12. Which v of v the v following v drug v administration v programs
v most v effectively v in- vcreases v nursing v efficiency, v saves v money,
v reduces v waste, v and v minimizes v prepa- vration verrors?: vUnit-dose vdrug
vdistribution vsystem
13. How v long v should v medical v record v be v kept?: v 7 vyears vfrom vthe vdate vof
vservice
14. In vorder vto vbe van vactive, vlegal vdocument, va vDNR vmust vbe?: vSigned
vby vboth vthe vindividual vnamed vin vthe vorder vas vwell vas vtheir vphysician.
2 v/
v33
,15. Activities/Psychosocial vNeeds v- vCare vplan vinterventions vfor
vactivities vmust vbe vbased v on?: v The vresident's vassessment vand vinclude vthe vresident's
vchoices, vpersonal vbeliefs, vinterests, vethnic/cul- vtural vpractices vand vspiritual vvalues, vas
vappropriate.
16. What vis vPDPMP?: ve vPatient vDriven vPayment vModel
17. How vdoes vPDPM vimprove vpayments vto vSNF's?: vImproves vpayment
vaccuracy vand vappropriate- vness vby vfocusing von vthe vpatient, vrather vthan vthe vvolume vof vservices
vprovided, vSignificantly vreduces vadministrative vburden v on vproviders, v& vImproves vSNF vpayments vto
vcurrently vunderserved vbeneficiaries vwithout vincreasing vtotal vMedicare vpayments
18. How vis vRUG-IV vdifferent vfrom vPDPM?: vUnder vRUG-IV, vthe vnumber vof vPT,
vOT, vand vSLP vtherapy vtreatment vminutes vare vcombined vfor va vtotal vnumber vof vtreatment
vminutes vthat vis vused vto vclassify va vgiven vpatient vinto va vgiven vtherapy vRUG
19. What v is v CB?: v Consolidated vBilling
20. What v is v MAC?: v Medicare vAdministrative vContractor, vwhere vMedicare vpayments vare
vmade vthrough.
21. What vdoes vMedicare vPart vA vcover?: vMedicare-certified vSNF vSkilled vcare
vservices.
22. What v is v the v maximum v amount v of v days v Medicare v part v A
v covers v for v SNF vservices?: vUp vto v100 vdays vof vSNF vcare vper vbenefit vperiod, vbut vit vpays
vthe vfull vamount vonly vfor vthe vfirst v20 vdays. vFor veach vday vfrom vthe v21st vthrough vthe v100th, vthe
vbeneficiary vmust vpay vthe v''coinsurance''
23. How vlong vis vthe vMedicare vPart vA vinterruption vperiod?: vA v3-day
vperiod vbeginning von vthe vfirst vnon-covered vday vafter va vpart vA vcovered vSNF vstay vand vending
vat v11:59 vPM von vthe vthird vconsecutive vnon-covered vday.
24. What vis va vProspective vPayment vSystems?: vA vmethod vof vreimbursement
vin vwhich vMedicare vpayment vis vmade vbased von va vpredetermined, vfixed vamount.
25. What vis vMedicare vFee-for-Service?: vFee-for-service vis va vsystem vof vhealth vcare
vpayment vin vwhich va vprovider vis vpaid vseparately vfor veach vparticular vservice vrendered.
26. What vis vvalue-based vpurchasing?: vLinking vprovider vpayments vto vimproved
vperformance vby vhealth vcare vproviders. vThe vSNF vVBP vProgram vis va vCenters vfor vMedicare v&
vMedicaid vServices v(CMS) vprogram vthat vawards vincentive vpayments vto vSNFs vbased von vtheir
vperformance von va vsingle vmeasure vof vall-cause vhospital vreadmissions.
3 v/
v33
, 27. What vare vthe vSNF vfinancial vreporting vrequirements?: vA vSNF
vmust vprepare vannual vcon- vsolidated vfinancial vstatements vof vrelated ventities vand vhave vthose
vstatements vreviewed vby va vCertified vPublic vAccountant v(CPA), vunless valready vaudited.
28. How voften vmust vMedicare-certified vinstitutional vproviders
vare vrequired vto v submit va vcost vreport vto va vMedicare
vAdministrative vContractor v(MAC).: vAnnually
4 v/
v33
