CHA Clinical Operations & Patient Care 2

Question 1

Under the Medicare hospice CoPs, the initial nursing assessment must be completed within what timeframe after the election of hospice care?

Accepted Answer

48 hours

Answer

42 CFR 418.54(a) requires the RN initial assessment within 48 hours of election unless the physician, patient, or representative requests otherwise.

Question 2

The hospice comprehensive assessment must be completed by the IDG, in consultation with the attending physician, no later than:

Accepted Answer

5 calendar days after election

Answer

The CoPs require the comprehensive assessment within 5 calendar days after the election of hospice care.

Question 3

How often must the IDG review and update the hospice plan of care at minimum?

Accepted Answer

Every 15 days

Answer

The plan of care must be reviewed and revised as often as the patient's condition requires, but no less frequently than every 15 calendar days.

Question 4

Which combination represents the required core members of the hospice interdisciplinary group?

Accepted Answer

Physician, RN, social worker, and pastoral or other counselor

Answer

42 CFR 418.56 requires a doctor of medicine or osteopathy, an RN, a social worker, and a pastoral or other counselor on the IDG.

Question 5

Which hospice service must be provided directly by hospice employees as a core service, except in limited extraordinary circumstances?

Accepted Answer

Nursing services

Answer

Nursing, physician, medical social, and counseling services are core services that must routinely be provided by hospice employees.

CHA - Certified Hospice Administrator Practice Test