CMD Long-Term Care & Post-Acute Care Management

Question 1

Which federal legislation primarily established standards for nursing facility care, resident rights, and quality of life in long-term care settings?

Accepted Answer

Omnibus Budget Reconciliation Act of 1987 (OBRA 87)

Answer

Medicare Catastrophic Coverage Act of 1988

Answer

Balanced Budget Act of 1997

Answer

Affordable Care Act of 2010

Question 2

What is the Minimum Data Set (MDS) in the context of long-term care?

Accepted Answer

A standardized resident assessment instrument required by CMS for nursing home residents

Answer

A financial reporting tool for nursing facility billing

Answer

A quality metric comparing nursing facilities nationally

Answer

A staffing ratio benchmark for skilled nursing facilities

Question 3

Under Medicare Part A, what is the maximum number of covered days in a skilled nursing facility (SNF) following a qualifying 3-day hospital stay?

Accepted Answer

100 days

Answer

30 days

Answer

60 days

Answer

90 days

Question 4

Which CMS survey process is conducted without advance notification to nursing facilities and is the primary method of regulatory oversight?

Accepted Answer

Standard unannounced survey

Answer

Complaint investigation survey

Answer

Focused infection control survey

Answer

Life safety code survey

Question 5

Which level of care in long-term care primarily provides assistance with activities of daily living (ADLs) without requiring skilled nursing services?

Accepted Answer

Intermediate care facility (ICF) / Assisted living

Answer

Skilled nursing facility (SNF)

Answer

Inpatient rehabilitation facility (IRF)

Answer

Long-term acute care hospital (LTACH)

Question 6

What is the primary purpose of the Care Area Assessment (CAA) process in long-term care?

Accepted Answer

To identify triggered clinical problem areas and guide individualized care planning

Answer

To determine Medicare reimbursement rates for each resident

Answer

To report quality indicators to state survey agencies

Answer

To document staffing levels required per resident acuity

Question 7

Which CMS quality reporting program uses a star-based rating system to compare nursing facility performance on health inspections, staffing, and quality measures?

Accepted Answer

Nursing Home Compare Five-Star Quality Rating System

Answer

Hospital Compare

Answer

HEDIS Quality Measurement Program

Answer

Leapfrog Hospital Safety Grade