Why does subacute care appeal to reimbursers such medicare

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Reference no: EM131092810

QUESTION 1. 1. What government program was designed to cover medical expenses for the indigent who cannot afford to pay for health services?

Medicare

Medicaid

Social Security

Affordable Care

QUESTION 2. Consumer demand was the catalyst for the creation of community based programs

True
False

QUESTION 3. Who owns and operates the overwhelming majority of assisted living facilities?

for profit organizations

not for profit organizations

managed care organizations

the government
 
QUESTION 4. The long-term care system works best when it maintains its focus on medical treatment, rather than being distracted by quality of life and other non-medical or non-clinical services.

True
False
 
QUESTION 5. Why does subacute care appeal to reimbursers such as Medicare, MCOs, and private insurance companies, as an option to hospitalization?

The clear regulations make them easier to work with

The lack of regulations allows the reimburser to set rates

The reimburser has mre control over the services that are provided

They provide required services for consumers at a lower cost
 
QUESTION 6. One difference between subacute care and postacute care is that subacute care provides outpatient services, while postacute care provides inpatient services.

True
False

QUESTION 7. An admission to a nursing facility for a consumer who cannot remain at home because of disabilities or care needs would best be categorized as a:

choice-based admission

Family-initiated admission

need-driven admission

MD initiated admission
 
QUESTION 8. Whether a subacute care unit is freestanding or physically housed within a larger facility, it will most likely be affiliated with, or even owned and operated by, a hospital or nursing facility.

True
False

QUESTION 9. A residential setting for seniors that might provide supportive services is called

Assisted living

Independent living

Nursing Home

Continuing Care Retirement Community

QUESTION 10. Rather than simply maintain their current quality of life, most seniors moving into senior housing want their quality of life to improve.

True
False

QUESTION 11. A senior housing complex that is built by a municipality to serve the needs of its citizens is an example of a facility that is:

publicly owned

owned by for profit investors

privately owned

owned by an MCO

QUESTION 12. Medicare reimbursement is available for certified home health and hospice care providers, but not for adult day care.

True
False

QUESTION 13. The basic philosophy of home health care is to:

provide services for both the patient and the caregiver

approach health care in a holistic manner

take the healthcare services to the consumer

give comfort and support to the patients and his or her family

QUESTION 14. Since assisted living facilities focus primarily on quality of life and autonomy for consumers, they must contract with outside agencies in order to provide healthcare services for their residents.

True
False
 
QUESTION 15. Residents who move from an independent living community to an assisted living facility most often do so because of:

increased functional capacity

dissatisfaction with the services provided

decreased independence or functional ability

desire to be closer to family
 
QUESTION 16. A hospital that purchases a nursing home and a home care agency is creating a horizontally integrated system

True
False

QUESTION 17. One weakness of the current long-term care system is that it focuses on payment availability. The reason it has this focus is that:

services are distributed unequally.

it is a reimbursement-driven system.

it is a fragmented system.

there are multiple entry points into the system

QUESTION 18. Given the philosophy of hospice, palliative care is more important that curative care

True
False

QUESTION 19. What is true about accreditation?

It is required by law for all long term care providers.

There are mandated penalties for not being accredited.

It is the process by which agencies are listed as eligible to provide a regulated service.

It is given by private agencies that are funded by the participating providers.

QUESTION 20. The vast majority of all long term care facilities are owned by for-profit organizations.

True
False

Reference no: EM131092810

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