NHA AND CORE FINAL EXAM SCRIPT 2026
COMPLETE STUDY PACK WITH ANSWERS
◉ 3 months of significant loss and severe loss - significant loss : 7.5%
severe loss: > 7.5%
◉ 1 month significant loss and severe loss - significant loss : 5% severe
loss: > 5%
◉ 6 month significant loss and severe loss - significant loss : 10% severe
loss: > 10%
◉ Upcoding - Billing for higher reimbursement than services actually
provided or should've been
Important to bill at the highest reasonable level of care actually needed
and provided
DHHS OIG estimates that NF overbilled CMS $1milli in a recent yr
◉ Abuse - The willful infliction of injury, unreasonable confinement,
intimidation, or punishment with resulting physical harm, pain or mental
anguish. Also includes the deprivation by an individual, including a
caretaker, of goods, or services that are necessary to attain or maintain
physical, mental, and psychosocial well-being.
,◉ Adverse Event - Untoward, undesirable, and usually unanticipated
event that causes death and or serious injury, or the risk thereof.
◉ Composite Distinct Part - A distinct part consisting of two or more
noncontiguous components that are not located within the same campus.
◉ Distinct Part - Physically distinguishable from the larger institution or
intuitional complex that houses it.
◉ Food Conservation - Of nutritive value, flavor, appearance, appeal,
and proper temp
◉ Proper Food Temperatures -
◉ Resident has right to... - A) Choose Activities, schedules, and health
care consistent w/ his or her interests, assessments, and plans of care
B) Interact w/members of the community both in and out the facility
C) make choices about aspects of his or her life in the facility that are
significant to the resident
Participation in Resident and Family Groups
A) Resident has the right to organize and participate in resident groups
in the facility
,B) Resident's family also has a right to meet in the facility w/families of
other residents
C) F will provide resident or family group w/ private space
D) Staff or visitors may attend meetings at the group's invitation
E) F will provide a designated staff person responsible for providing
assistance and responding to written requests that result from group
meeting
◉ Quality Assurance committee consists of... - QA and assurance
committee consists of
A) The DON
B) Physician designated by the facility
C) Three other members of the facility's staff will be maintained
◉ QA meeting guidelines - The committee:
A) meets at least quarterly to identify issues w/respect to which quality
assessment and assurance activities are necessary
B) Develops and implements appropriate plans of action to correct
identified quality deficiencies
◉ Food Management - Store, prepare, distribute, and serve under
sanitary conditions
Proper disposal of garbage and refuse will be done
, ◉ Frequency of meals - A) Each resident receives and the facility
provides at least 3 meals a day at reg times
B) no more than 14 hours btwn dinner and breakfast (except when snack
is provided, 16 hours may pass btwn dinner and lunch)
◉ Comfortable and Safe - Will provide range of 71 to 81 degrees F
◉ Emergency Power Supply - Will supply emergency lighting for:
1) all entrances and exits
2) Equipment to maintain fire detection, alarm and extinguishing system
3) Life support systems
◉ Physical Building Policies - -Bedroom limited to 4 ppl
-Direct access to exit from room
-Privacy for each resident
-Window
-One window and floor at or above grade level
-One separate bed at appropriate height
-Clean mattress
-Bedding climate appropriate
-Equipped with or near bathroom
COMPLETE STUDY PACK WITH ANSWERS
◉ 3 months of significant loss and severe loss - significant loss : 7.5%
severe loss: > 7.5%
◉ 1 month significant loss and severe loss - significant loss : 5% severe
loss: > 5%
◉ 6 month significant loss and severe loss - significant loss : 10% severe
loss: > 10%
◉ Upcoding - Billing for higher reimbursement than services actually
provided or should've been
Important to bill at the highest reasonable level of care actually needed
and provided
DHHS OIG estimates that NF overbilled CMS $1milli in a recent yr
◉ Abuse - The willful infliction of injury, unreasonable confinement,
intimidation, or punishment with resulting physical harm, pain or mental
anguish. Also includes the deprivation by an individual, including a
caretaker, of goods, or services that are necessary to attain or maintain
physical, mental, and psychosocial well-being.
,◉ Adverse Event - Untoward, undesirable, and usually unanticipated
event that causes death and or serious injury, or the risk thereof.
◉ Composite Distinct Part - A distinct part consisting of two or more
noncontiguous components that are not located within the same campus.
◉ Distinct Part - Physically distinguishable from the larger institution or
intuitional complex that houses it.
◉ Food Conservation - Of nutritive value, flavor, appearance, appeal,
and proper temp
◉ Proper Food Temperatures -
◉ Resident has right to... - A) Choose Activities, schedules, and health
care consistent w/ his or her interests, assessments, and plans of care
B) Interact w/members of the community both in and out the facility
C) make choices about aspects of his or her life in the facility that are
significant to the resident
Participation in Resident and Family Groups
A) Resident has the right to organize and participate in resident groups
in the facility
,B) Resident's family also has a right to meet in the facility w/families of
other residents
C) F will provide resident or family group w/ private space
D) Staff or visitors may attend meetings at the group's invitation
E) F will provide a designated staff person responsible for providing
assistance and responding to written requests that result from group
meeting
◉ Quality Assurance committee consists of... - QA and assurance
committee consists of
A) The DON
B) Physician designated by the facility
C) Three other members of the facility's staff will be maintained
◉ QA meeting guidelines - The committee:
A) meets at least quarterly to identify issues w/respect to which quality
assessment and assurance activities are necessary
B) Develops and implements appropriate plans of action to correct
identified quality deficiencies
◉ Food Management - Store, prepare, distribute, and serve under
sanitary conditions
Proper disposal of garbage and refuse will be done
, ◉ Frequency of meals - A) Each resident receives and the facility
provides at least 3 meals a day at reg times
B) no more than 14 hours btwn dinner and breakfast (except when snack
is provided, 16 hours may pass btwn dinner and lunch)
◉ Comfortable and Safe - Will provide range of 71 to 81 degrees F
◉ Emergency Power Supply - Will supply emergency lighting for:
1) all entrances and exits
2) Equipment to maintain fire detection, alarm and extinguishing system
3) Life support systems
◉ Physical Building Policies - -Bedroom limited to 4 ppl
-Direct access to exit from room
-Privacy for each resident
-Window
-One window and floor at or above grade level
-One separate bed at appropriate height
-Clean mattress
-Bedding climate appropriate
-Equipped with or near bathroom
