CHAT STUDY GUIDE FOR LTC EXAM 2 QUESTIONS AND ANSWERS
External Controls - CORRECT ANSWER✅✅Public (government regulation) and Private (accreditation).
Public control is mandatory; private is voluntary.
Licensure - CORRECT ANSWER✅✅Legal requirement for all LTC facilities; issued by state and renewed
annually.
Certification - CORRECT ANSWER✅✅Not mandatory but required for Medicare/Medicaid participation;
must meet CMS Requirements of Participation.
Skilled Nursing Facility (SNF) - CORRECT ANSWER✅✅Certified for Medicare; provides skilled nursing
and rehab services.
Nursing Facility (NF) - CORRECT ANSWER✅✅Certified for Medicaid; provides long-term care and basic
nursing.
OBRA 1987 - CORRECT ANSWER✅✅Federal law reforming nursing home regulation to improve quality
and resident rights.
Resident Rights - CORRECT ANSWER✅✅Federal and state laws ensure residents' rights to dignity,
privacy, and self-determination.
Survey Process - CORRECT ANSWER✅✅Annual unannounced inspection reviewing care, records, and
interviews to assess compliance.
Deficiency - CORRECT ANSWER✅✅Cited for unmet regulation; seriousness evaluated by scope and
severity.
Patient Self-Determination Act - CORRECT ANSWER✅✅Requires informing patients of their right to
accept/refuse treatment and create advance directives.
, HIPAA - CORRECT ANSWER✅✅Protects privacy and security of patient health information.
Regulations Pros - CORRECT ANSWER✅✅Protect consumers, ensure quality, and promote equity.
Regulations Cons - CORRECT ANSWER✅✅Increase administrative burden, can be costly, may stifle
innovation.
Accreditation - CORRECT ANSWER✅✅Voluntary private control by Joint Commission or CARF; sets
higher-than-minimum standards.
LTC Financing - CORRECT ANSWER✅✅Combination of public (Medicare/Medicaid) and private (out-of-
pocket, insurance) sources.
Medicare - CORRECT ANSWER✅✅Federal insurance for 65+, certain disabled, ESRD; limited LTC
coverage.
Medicare Part A - CORRECT ANSWER✅✅Covers inpatient hospital, SNF (after 3-night stay), home
health, and hospice.
Medicare Part B - CORRECT ANSWER✅✅Covers physician, outpatient, and therapy services in LTC
settings.
Medicare Part C - CORRECT ANSWER✅✅Medicare Advantage plans using capitation; may include LTC
benefits with contracted providers.
Medicare Part D - CORRECT ANSWER✅✅Prescription drug coverage through private plans; excluded
when SNF care under Part A.
Prospective Payment System (PPS) - CORRECT ANSWER✅✅Fixed daily rate based on case mix; includes
all SNF services.
External Controls - CORRECT ANSWER✅✅Public (government regulation) and Private (accreditation).
Public control is mandatory; private is voluntary.
Licensure - CORRECT ANSWER✅✅Legal requirement for all LTC facilities; issued by state and renewed
annually.
Certification - CORRECT ANSWER✅✅Not mandatory but required for Medicare/Medicaid participation;
must meet CMS Requirements of Participation.
Skilled Nursing Facility (SNF) - CORRECT ANSWER✅✅Certified for Medicare; provides skilled nursing
and rehab services.
Nursing Facility (NF) - CORRECT ANSWER✅✅Certified for Medicaid; provides long-term care and basic
nursing.
OBRA 1987 - CORRECT ANSWER✅✅Federal law reforming nursing home regulation to improve quality
and resident rights.
Resident Rights - CORRECT ANSWER✅✅Federal and state laws ensure residents' rights to dignity,
privacy, and self-determination.
Survey Process - CORRECT ANSWER✅✅Annual unannounced inspection reviewing care, records, and
interviews to assess compliance.
Deficiency - CORRECT ANSWER✅✅Cited for unmet regulation; seriousness evaluated by scope and
severity.
Patient Self-Determination Act - CORRECT ANSWER✅✅Requires informing patients of their right to
accept/refuse treatment and create advance directives.
, HIPAA - CORRECT ANSWER✅✅Protects privacy and security of patient health information.
Regulations Pros - CORRECT ANSWER✅✅Protect consumers, ensure quality, and promote equity.
Regulations Cons - CORRECT ANSWER✅✅Increase administrative burden, can be costly, may stifle
innovation.
Accreditation - CORRECT ANSWER✅✅Voluntary private control by Joint Commission or CARF; sets
higher-than-minimum standards.
LTC Financing - CORRECT ANSWER✅✅Combination of public (Medicare/Medicaid) and private (out-of-
pocket, insurance) sources.
Medicare - CORRECT ANSWER✅✅Federal insurance for 65+, certain disabled, ESRD; limited LTC
coverage.
Medicare Part A - CORRECT ANSWER✅✅Covers inpatient hospital, SNF (after 3-night stay), home
health, and hospice.
Medicare Part B - CORRECT ANSWER✅✅Covers physician, outpatient, and therapy services in LTC
settings.
Medicare Part C - CORRECT ANSWER✅✅Medicare Advantage plans using capitation; may include LTC
benefits with contracted providers.
Medicare Part D - CORRECT ANSWER✅✅Prescription drug coverage through private plans; excluded
when SNF care under Part A.
Prospective Payment System (PPS) - CORRECT ANSWER✅✅Fixed daily rate based on case mix; includes
all SNF services.
