Which of the following is true about viatical settlement?
A. They are classified as an insurance product.
B. They are a type of death benefit.
C. They involve sale of a life insurance policy to a third-party before death occurs.
D. When the policy is sold, it is not necessary for beneficiaries to sign a release to
waive rights to the policy.
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, C. With viatical settlements, a third-party purchases, the policy (or a portion
of it) at an amount that is less than the death benefit. The third-party then
collects the death benefit after the seller dies. Viatical settlements are not
an insurance product. They are also known as living benefits because the
seller uses the funds to improve his quality of life prior to dying of a
terminal illness. Beneficiaries must sign a waiver to give up rights to the
policy.
A client is medically stable, but needs intermittent. Nursing intervention to maintain
stability. The patient also needs intermittent, subacute injections, routine, non-sterile,
suctioning, and a stable respiratory therapy plan. What level of care is this patient
receiving?
A. Assisted-living
B. Custodial care.
C. Intermediate care.
D. Skilled nursing.
Give this one a try later!
C. The scenario describes intermediate care. Under assisted-living or
custodial care, the client is stable, takes a consistent regimen of oral
medication's, and does not need suctioning. Skilled nursing is for complex,
but state generally stable, patients who may need central line care, IV push
medication, variable, adjustments, and dosages of medicines, and
assessment of laboratory values.
Under which of the following conditions can a case manager refuse to see a patient?
A. If there is a conflict of interest in working with that patient.
B. If providing services to that patient places and personal danger.
C. A case manager cannot refuse to see a patient.
D. A and B
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, D. if there is a possibility, conflict of interest in working with a patient, report
it to your supervisor, so that another case manager can take the
assignment. You should never place yourself in personal danger in order to
provide services. Again, report dangerous conditions to your supervisor.
The process that occurs when a person elects to stay in her home, and to remain as
independent as possible even though she is undergoing mental or physical decline is
called:
A. A continuing care retirement community.
B. Assisted-living.
C. Aging in place.
D. Respite care.
Give this one a try later!
C. when a person chooses to stay in her own living environment, despite
physical and or mental decline, she has chosen to age in place. In assisted-
living, assistance is given with activities of daily living. Continuing care
retirement community is an expensive housing community that provides
different levels of care from independent living to full-time nursing care.
A patient remains in the hospital for two additional days because of an inappropriate
delay in discharge. These days are called:
A. Incidents
B. Acute days.
C. Lag days.
D. Length of stay.
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C. lag days are inappropriate acute in patient days that occur when a
patient should have been discharged sooner than she actually was.
Insurance companies consider these days, not acute and a form of
overutilization. The company may deny payment for the portion of the
, hospitalization deemed inappropriate. A good case manager can help
avoid the occurrence of lag days.
A case manager knowingly refers a patient to a provider who is unqualified to render
services to the patient. This is known as:
A. Temporary referral
B. Dual relationship.
C. Referral by client consent.
D. Negligent referral
Give this one a try later!
D. The case manager has to have knowledge of the referral providers,
credentials, and clinical experience. If a case manager sends a patient to an
unqualified referral provider, this constitutes a negligent referral. It is
important for the case managers to check in with patients afterward, to
assure that they had a positive experience with the provider. It is also the
case managers responsibility to report any misconduct on the part of that
provider.
A prospective payment system (PPS):
A. Is a Medicare payment based on a patient's diagnosis at the time of hospital
admission
B. Is the same as fee for service system
C. Is part of Medicare supplemental insurance
D. Is similar to Medicare, part D
Give this one a try later!
A. A PPS is a Medicare payment based on a patient's diagnosis at the time
of admission to the hospital.
A. They are classified as an insurance product.
B. They are a type of death benefit.
C. They involve sale of a life insurance policy to a third-party before death occurs.
D. When the policy is sold, it is not necessary for beneficiaries to sign a release to
waive rights to the policy.
Give this one a try later!
, C. With viatical settlements, a third-party purchases, the policy (or a portion
of it) at an amount that is less than the death benefit. The third-party then
collects the death benefit after the seller dies. Viatical settlements are not
an insurance product. They are also known as living benefits because the
seller uses the funds to improve his quality of life prior to dying of a
terminal illness. Beneficiaries must sign a waiver to give up rights to the
policy.
A client is medically stable, but needs intermittent. Nursing intervention to maintain
stability. The patient also needs intermittent, subacute injections, routine, non-sterile,
suctioning, and a stable respiratory therapy plan. What level of care is this patient
receiving?
A. Assisted-living
B. Custodial care.
C. Intermediate care.
D. Skilled nursing.
Give this one a try later!
C. The scenario describes intermediate care. Under assisted-living or
custodial care, the client is stable, takes a consistent regimen of oral
medication's, and does not need suctioning. Skilled nursing is for complex,
but state generally stable, patients who may need central line care, IV push
medication, variable, adjustments, and dosages of medicines, and
assessment of laboratory values.
Under which of the following conditions can a case manager refuse to see a patient?
A. If there is a conflict of interest in working with that patient.
B. If providing services to that patient places and personal danger.
C. A case manager cannot refuse to see a patient.
D. A and B
Give this one a try later!
, D. if there is a possibility, conflict of interest in working with a patient, report
it to your supervisor, so that another case manager can take the
assignment. You should never place yourself in personal danger in order to
provide services. Again, report dangerous conditions to your supervisor.
The process that occurs when a person elects to stay in her home, and to remain as
independent as possible even though she is undergoing mental or physical decline is
called:
A. A continuing care retirement community.
B. Assisted-living.
C. Aging in place.
D. Respite care.
Give this one a try later!
C. when a person chooses to stay in her own living environment, despite
physical and or mental decline, she has chosen to age in place. In assisted-
living, assistance is given with activities of daily living. Continuing care
retirement community is an expensive housing community that provides
different levels of care from independent living to full-time nursing care.
A patient remains in the hospital for two additional days because of an inappropriate
delay in discharge. These days are called:
A. Incidents
B. Acute days.
C. Lag days.
D. Length of stay.
Give this one a try later!
C. lag days are inappropriate acute in patient days that occur when a
patient should have been discharged sooner than she actually was.
Insurance companies consider these days, not acute and a form of
overutilization. The company may deny payment for the portion of the
, hospitalization deemed inappropriate. A good case manager can help
avoid the occurrence of lag days.
A case manager knowingly refers a patient to a provider who is unqualified to render
services to the patient. This is known as:
A. Temporary referral
B. Dual relationship.
C. Referral by client consent.
D. Negligent referral
Give this one a try later!
D. The case manager has to have knowledge of the referral providers,
credentials, and clinical experience. If a case manager sends a patient to an
unqualified referral provider, this constitutes a negligent referral. It is
important for the case managers to check in with patients afterward, to
assure that they had a positive experience with the provider. It is also the
case managers responsibility to report any misconduct on the part of that
provider.
A prospective payment system (PPS):
A. Is a Medicare payment based on a patient's diagnosis at the time of hospital
admission
B. Is the same as fee for service system
C. Is part of Medicare supplemental insurance
D. Is similar to Medicare, part D
Give this one a try later!
A. A PPS is a Medicare payment based on a patient's diagnosis at the time
of admission to the hospital.
