6. In which of the following kinds of long-term care settings will one find daily involvement of licensed physicians? a. respite care facility b. senior retirement community c. assisted living residence d. skilled nursing facility 7. From the lowest level to the highest level, which of the following reflects established levels of long-term care? a. skilled, custodial, intermediate b. custodial, intermediate, skilled c. informal, skilled, formal d. basic, skilled, formal 8. What is the current average length of stay in a skilled nursing facility? a. 6 months b. 2½ years c. 5 years d. 7 years 9. Which of the following defines a Medicare benefit period? a. the length of any one hospital stay, beginning when an individual is admitted and ending when he or she is discharged b. the period that begins with a hospital admission and ends after 60 consecutive days during which no inpatient hospital care is received c. the period following the full payment of the Part A deductible and ending December 31 of each year d. the full period after a person becomes eligible for Medicare due to age or disability 10. For Medicare to cover the cost of care in the home, certain conditions must be met. These conditions include all of the following EXCEPT: a. The care must be certified as medically necessary. b. The care must be provided by a Medicare-certified home health agency.
Added by Megan D.
Close
Step 1
The daily involvement of licensed physicians is most likely to be found in a skilled nursing facility. So, the answer is d. skilled nursing facility. Show moreā¦
Show all steps
Your feedback will help us improve your experience
Akash M and 76 other Principles of Accounting educators are ready to help you.
Ask a new question
Labs
Want to see this concept in action?
Explore this concept interactively to see how it behaves as you change inputs.
Recommended Videos
1. Which of the following is correct? Part A is Hospital Insurance Part B is Medicare Prescription Drug Coverage Part C is Medical Insurance Part D is Medicare Advantage Plans (like HMOs and PPOs) 2. John is 65 years old with a history of diabetes, arthritis, and chronic back pain. He has signed up for Part B. He is currently in his Medigap Open Enrollment Period. John knows that during this time his insurance company can do which of the following: Use medical underwriting Sell him any Medigap plan they offer Charge him more for a Medigap policy than they charge someone with no health problems Make him wait for coverage to start 3. Which statement about Medicare is accurate? It is a health insurance program for people aged 65 and older People of any age who have End-Stage Renal Disease (ESRD) are eligible It is administered by each state individually It covers prescription drugs only 4. Janet was recently diagnosed with pneumonia exacerbated by her COPD and will need therapy at a Skilled Nursing Facility (SNF) before returning home. Which part of Medicare will help pay for her skilled nursing facility care? Part A Part B Part C Part D 5. Susan has recently had a stroke and is being discharged from the hospital. She would like to go home with home health services. She would like Medicare Part B to pay for this service. Which of the following would disqualify Susan from being eligible to be covered for these services? She requires skilled care on an intermittent basis She is under the care of her doctor She will be able to leave the house for small errands She will have a face-to-face encounter with her doctor prior to being discharged home 6. Which term describes your doctor, provider, or supplier agreeing to accept the Medicare-approved amount as full payment for covered services? Creditable Coverage Assignment Copayment Agreement Guaranteed Payout
Adi S.
Question 16: Mrs. Reynolds is in her Medicare initial coverage election period (ICEP) and the date of her entitlement to Part A and B has already occurred. Mrs. Reynolds has just signed up for a Medicare Advantage plan on the second of the month. She is leaving for vacation in two weeks and wants to know if her new coverage will start before she leaves. What should you tell her? a. Typically, her coverage would begin on the first day of the next month, so she should not expect her coverage to begin before she leaves. b. Typically, her coverage would begin 30 days after she submits the application form, so she should not expect the coverage to begin until after she leaves. c. Coverage always begins on the first of July, or the first of January after a beneficiary enrolls, whichever comes first. d. Typically, coverage is effective on the date that the beneficiary completes the application form, so her coverage will be in place before she leaves. Question 18: You work for Caring Health, a Medicare Advantage (MA) plan sponsor. Recently, Mrs. Garcia has completed an enrollment application for a plan offered by Caring Health, which is waiting for a reply from CMS indicating whether or not Mrs. Garcia's enrollment has been accepted. Once CMS replies, how long does Caring Health have to notify Mrs. Garcia that her enrollment has been accepted and in what format? a. The plan has 30 business days to notify Mrs. Garcia in writing. b. The plan has 10 calendar days to notify Mrs. Garcia in writing. c. The plan has 7 business days to notify Mrs. Garcia through a recorded telephone call. d. The plan has 5 calendar days to notify Mrs. Garcia through encrypted email.
Asma V.
Case Scenario: The patient is a 72-year-old widowed Native American woman named Rose Smith. Mrs. Smith lives alone near Traverse City. Her son, daughter-in-law, daughter, and their children all live outside of Michigan. Her income is $15,000 per year, and her healthcare coverage is traditional Medicare (Parts A, B, and D). She does not have access to a car. Mrs. Smith is diabetic and routinely receives care at the local health clinic. For hospital care, she must travel to Traverse City. Mrs. Smith tripped in her home and broke her left hip. A surgical repair was necessary and was performed at Munson Medical Center for surgery with a 7-day inpatient stay. After Mrs. Smith's inpatient stay, she was discharged to Munson Health and Rehabilitation for a short-term rehabilitation stay of 14 days. Upon discharge from Munson, in-home physical and occupational therapy was scheduled for a period of 2 months. The discharge plan for Mrs. Smith anticipates that she will be able to be discharged from home care post-evaluation. After that date, it is anticipated that she will live independently and care for herself at home.
Jennifer S.
Recommended Textbooks
Horngrenās Cost Accounting
Cost Accounting A Managerial Emphasis
Principles of Accounting Volume 1: Financial Accounting
Transcript
Watch the video solution with this free unlock.
EMAIL
PASSWORD