Medicare Home Health Services Test

Name

Date

1. An individual may qualify for Medicare home health services if:

A. the individual is homebound

B. the skilled services are medically reasonable and necessary

C. the attending physician has ordered the therapeutic services

D. all of the above

2. An initial assessment and evaluation in the patient’s residence must occur:

A. on or before the conduction of the initial therapeutic visit

B. within twenty-four (24) hours after the agency received the referral

C. within the allotted time frame identified in the agency’s policies and procedures

D. within forty-eight (48) hours from the initiation of therapeutic services

3. Changes in the plan of care, such as increasing the frequency of therapeutic visits, must be communicated to the patient and documented accordingly in the clinical record.

A. true B. false

4. The physician must be informed of missed therapeutic visits.

A. true B. false

5. The duration of a plan of care’s certification period:

A. may be up to 62 days

B. should never be less than one week

C. must be at least one month

D. may be up to 90 days

6. The following actions are generally considered a skilled nursing service EXCEPT:

A. venipuncture for laboratory analysis

B. administration of oral medications

C. health teaching related to a specific condition

D. assessment and monitoring related to a specific medical condition

7. A patient who leaves his or her residence more than weekly for nonmedical purposes is:

A. generally considered homebound

B. only considered homebound if it is a taxable effort to leave the residence

C. not homebound

D. homebound if the RN determines the patient requires home health services

8. A licensed vocational nurse may:

A. conduct an individual’s initial assessment and evaluation for Medicare home health services

B. take a physician’s verbal order if allowed by the agency’s policies and procedures

C. conduct a home health aide supervisory visit in the patient’s residence

D. implement changes in the patient’s plan of care

9. A skilled therapeutic service (nursing, physical therapy, or speech therapy) is required in order for an individual to qualify for Medicare home health services.

A. true B. false

10. The plan of care (HCFA 485) must identify the following EXCEPT:

A. appropriate therapeutic interventions that include frequency and duration

B. routine medical supplies to be utilized in delivering the appropriate therapeutic services

C. individualized and measurable goals

D. the attending physician’s signature

11. If nursing home health visits are planned beyond 21 days, the plan of care or clinical record must include an end-in-sight statement(s).

A. true B. false

12. During the initial certification for home health services, a skilled therapeutic service (nursing, physical therapy, or speech therapy) is required in order for the individual to qualify for home health aide or medical social services.

A. true B. false

13. Home health aide services must be supervised in the patient’s residence:

A. as determined by the RN

B. every two weeks by the appropriate professional

C. only if the patient agrees to the supervisory visits

D. every month by the appropriate professional

14. Health teaching must be conducted during each therapeutic visit.

A. true B. false

15. An individual attending an adult day care center for nonmedical purposes is generally considered to be homebound and eligible for Medicare home health services.

A. true B. false

16. A physician’s order is required for all of the following actions except:

A. increasing the frequency of established therapeutic visits in the plan of care

B. missed visits

C. providing treatment

D. administering a medication

17. The duration of a therapeutic visit must:

A. be longer than 30 minutes

B. be conducted only when the caregiver is present

C. be less than two hours

D. include all appropriate interventions identified in the plan of care

18. A medical social worker may conduct an individual’s initial assessment and evaluation for Medicare home health services.

A. true B. false

19. Medicare will pay for full-time (beyond eight hours per day) home health nursing services if the physician considers it medically reasonable and necessary.

A. true B. false

20. The duration of a therapeutic visit must be documented in the clinical note.

A. true B. false