CMD Long-Term Care & Post-Acute Care Management 2

Question 1

As a medical director of a long-term care facility, which of the following is a core regulatory responsibility under federal guidelines?

Accepted Answer

Implementing resident care policies and coordinating medical care

Answer

Personally conducting all resident admissions assessments

Answer

Serving as the primary billing authority for Medicare claims

Answer

Approving all facility construction and renovation projects

Question 2

What does the acronym 'PASRR' stand for, and what is its purpose in long-term care admissions?

Accepted Answer

Preadmission Screening and Resident Review — identifies individuals with serious mental illness or intellectual disabilities

Answer

Patient Acuity Severity Risk Ratio — measures clinical complexity

Answer

Post-Acute Standardized Reimbursement Rate — sets SNF payment levels

Answer

Physician Authorization for Skilled Nursing Referral and Review — authorizes admissions

Question 3

Which document specifies a long-term care resident's wishes regarding life-sustaining treatment and is legally recognized across most U.S. states?

Accepted Answer

POLST (Physician Orders for Life-Sustaining Treatment)

Answer

Minimum Data Set (MDS)

Answer

Care Area Assessment (CAA)

Answer

Resident Assessment Protocol (RAP)

Question 4

Under Medicare regulations, what is the minimum required frequency for physician visits to nursing facility residents during long-term care stays?

Accepted Answer

Every 30 days for the first 90 days, then every 60 days thereafter

Answer

Every 30 days for all residents indefinitely

Answer

Weekly for the first month, then monthly thereafter

Answer

Monthly for the first year, then quarterly thereafter

Question 5

Which federal program is the primary payer for long-term custodial nursing home care for low-income elderly and disabled individuals in the United States?

Accepted Answer

Medicaid

Answer

Medicare Part A

Answer

Medicare Part C (Medicare Advantage)

Answer

TRICARE

Question 6

Which CMS national initiative specifically targets the reduction of unnecessary antipsychotic medication use in nursing home residents?

Accepted Answer

Partnership to Improve Dementia Care in Nursing Homes

Answer

National Nursing Home Quality Care Collaborative (NNHQCC)

Answer

Hospital Readmissions Reduction Program (HRRP)

Answer

Advancing Excellence in America's Nursing Homes Campaign

Question 7

Which long-term care reimbursement model replaced the Resource Utilization Groups (RUGs) system for SNF Medicare payments beginning in October 2019?

Accepted Answer

Patient-Driven Payment Model (PDPM)

Answer

Prospective Payment System (PPS) Original

Answer

Case-Mix Index (CMI) Reimbursement

Answer

Bundled Payments for Care Improvement (BPCI)