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

OBRA 87 established comprehensive federal standards for nursing facilities, including resident rights, quality of care mandates, and the Resident Assessment Instrument (RAI) requirement.

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

The MDS is a comprehensive, standardized assessment tool mandated by CMS that captures clinical, functional, and psychosocial data on nursing home residents to guide care planning.

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

Medicare Part A covers up to 100 days per benefit period in a SNF, with full coverage for days 1–20 and a daily copay for days 21–100.

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

The standard unannounced survey is conducted without prior notice to assess a facility's compliance with federal certification requirements.

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

Intermediate care facilities and assisted living communities provide custodial care and ADL support for individuals who do not require skilled nursing or rehabilitation services.

(CMD) Certified Medical Director Practice Test

(CMD) Certified Medical Director Practice Test

CMD Long-Term Care & Post-Acute Care Management