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Home Health Basics

Description

Basic Review Questions for Home Health Practioner
jibaluran
Quiz by jibaluran, updated more than 1 year ago
jibaluran
Created by jibaluran about 10 years ago
150
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Resource summary

Question 1

Question
What does OASIS stand for?
Answer
  • Outcome and Assessment Information Set
  • Outcome and Assessment Introduction Set
  • Objective Assessment Information Set
  • Objective and Analysis Information Set

Question 2

Question
Private Insurance or Non-medicare Patients always need OASIS documentations
Answer
  • True
  • False

Question 3

Question
What are the cardinal requirement for home health care admission?
Answer
  • Homebound
  • Skilled Care Need
  • Intermittent Care
  • Physician Order
  • Reasonable and Necessary
  • Authorizations

Question 4

Question
How many days are there in one home health episode?
Answer
  • 30 Days
  • 60 Days
  • 15 Days
  • 45 Days

Question 5

Question
All interventions need an MD order.
Answer
  • True
  • False

Question 6

Question
What does PHI stand for?
Answer
  • Protected Health Information
  • Personal Health Information
  • Protected Health Identity
  • Personal Health Identity

Question 7

Question
It contains all written orders, diagnosis, medications, treatment, rehabilitation potential etc.
Answer
  • 485 POC
  • OASIS-C
  • Medication Profile
  • Referral Notes

Question 8

Question
When should wound trending be done?
Answer
  • Every Visit
  • Every 14 Days
  • Every 60 Days
  • Every 30 Days

Question 9

Question
Wound that presents as intact skin with non-blanchable redness of a localized area?
Answer
  • Stage 1 PU
  • Stage 2 PU
  • Stage 3 PU
  • Suspected DTI
  • Unstageable

Question 10

Question
Characterized by partial-thickness loss of dermis presenting as a shallow open ulcer with a red-pink wound bed without slough
Answer
  • Stage 1 PU
  • Stage 2 PU
  • Stage 3 PU
  • Suspected DTI
  • Unstageable

Question 11

Question
Wound that presents as an intact ruptured serum-filled blister.
Answer
  • Stage 1 PU
  • Stage 2 PU
  • Stage 3 PU
  • Suspected DTI
  • Unstageable

Question 12

Question
Characterized by a purple or maroon localized area of discolored intact skin or a blood-filled blister due to damage of underlying soft tissue from pressure.
Answer
  • Suspected DTI
  • Stage 1 PU
  • Stage 2 PU
  • Stage 3 PU

Question 13

Question
What Stage of PU is in the image? (Image taken from google. No copyright infringement intended)
Image:
pu2 (image/jpg)
Answer
  • Stage 1
  • Stage 2
  • Stage 3
  • Stage 4
  • Suspected DTI

Question 14

Question
What Stage of PU is in the image? (Image taken from google. No copyright infringement intended)
Image:
pu3 (image/jpg)
Answer
  • Stage 1
  • Stage 2
  • Stage 3
  • Stage 4
  • Unstageable

Question 15

Question
Stage 2 PU may present as a shiny or dry shallow ulcer with slough or bruising.
Answer
  • True
  • False

Question 16

Question
Which patient is NOT considered HOMEBOUND?
Answer
  • Patient who goes to adult day care centers on a regular basis.
  • Patient who goes to dialysis every M,W, F.
  • Patient who to church every Sunday for religious service.
  • Patient who uses crutches, drives himself to the mall every Friday to do shopping.

Question 17

Question
The following patients are considered homebound, EXCEPT:
Answer
  • A patient paralyzed from a stroke who is confined to a wheelchair.
  • A patient who is blind and requires the assistance of another person in leaving his place of residence.
  • A patient who uses crutches to a daily walk to the park every morning and does ADLs and groceries on his own.
  • A patient with no physical limitations but has a psychiatric illness that by nature, leaving home unattended would not be safe for the patient.

Question 18

Question
All are considered patient’s place of residence or home EXCEPT for:
Answer
  • Skilled Nursing Facility
  • Board and Care Facility
  • Assisted Living Facility
  • Caregiver's Home

Question 19

Question
What are the Drivers of Home Health Practice?
Answer
  • Patient Benefit
  • Physician’s Orders
  • Plan of Care
  • Patient’s continued progress
  • OASIS/Evaluation
  • Need of intermittent skilled care

Question 20

Question
What are the Major Segments of a home health plan of care?
Answer
  • Patient Education
  • Caregiver Training
  • Treatment
  • Rehabilitation
  • Medication Safety
  • Infection Control

Question 21

Question
When should the evaluation of additional disciplines ordered on referral be done?
Answer
  • Within 5 Days from SOC
  • Within 5 Days from hospital discharge
  • Within 5 Days from referral
  • Within 5 Days from face to face encounter

Question 22

Question
When should the POC be signed by the physician?
Answer
  • Within 30 days from the ordered date
  • Within 30 days from the hospital discharge
  • Within 30 Days from the referral
  • Within 5 days from SOC

Question 23

Question
OASIS-C Transfer should always be done within 24-48 hours from the date of transfer.
Answer
  • True
  • False

Question 24

Question
When should the Resumption Plan of Care be completed?
Answer
  • Within 1 Day from ROC
  • Within 2 Days from ROC
  • Within 2 Days from SOC
  • Within 5 Days from ROC

Question 25

Question
The following OASIS-C documentation may be done after an OASIS-C Resumption of Care EXCEPT for:
Answer
  • OASIS-C SOC
  • OASIS-C Recertification
  • OASIS-C Other Follow Up
  • OASIS-C Discharge

Question 26

Question
A private insurance only patient was admitted back to the hospital from home health care. What documents are needed to be completed by the home health practitioners?
Answer
  • Transfer order
  • Transfer summary
  • OASIS-C Transfer
  • Discharge order

Question 27

Question
What is the time line for Re-hospitalization penalty period FOR HOSPITAL?
Answer
  • 30 Days from SOC
  • 60 Days from home health discharge
  • 15 Days from SOC
  • 45 Days from home health discharge

Question 28

Question
What is the time line for Re-hospitalization penalty period FOR HOME HEALTH?
Answer
  • 30 Days from SOC
  • 60 Days from home health discharge
  • 15 Days from SOC
  • 45 Days from home health discharge

Question 29

Question
When should the OASIS-C Recertification be completed?
Answer
  • Within 5 Days prior to the end of the episode
  • Within 5 Days from the end of the episode
  • Within 5 Days from the Recertification period
  • Within 5 Days prior to start of care.

Question 30

Question
When should Face-to-face encounter be done?
Answer
  • Within 5 days from ROC date
  • Within 60 days from SOC date
  • Within 90 days prior SOC date
  • Within 30 Days from SOC date

Question 31

Question
What are the four important elements to assess during OASIS-C SOC using standardized tool for best practice?
Answer
  • Skin
  • Pain
  • Depression
  • Fall
  • Activity
  • Elimination

Question 32

Question
The following are used in outcome measurements in OASIS except for:
Answer
  • Pain
  • Dyspnea
  • Bathing
  • Urinary Incontinence
  • Depression

Question 33

Question
It is the condition that is most related to the current plan of care. It is also defined as the reason for home health.
Answer
  • Primary Diagnosis
  • Secondary Diagnosis
  • Pertinent Diagnosis
  • Treatment Diagnosis

Question 34

Question
All, but one, can be considered as surgical wound according to M1340:
Answer
  • Muscle Flap
  • Wounds with drains
  • Surgical Incision
  • Ostomies

Question 35

Question
Which of the following can be considered as surgical wound according to M1340?
Answer
  • Peritoneal dialysis catheter insertion site
  • Surgical Scars
  • PICC lines
  • PU treated by surgical debridement

Question 36

Question
All,but one, can be considered as intravenous or infusion therapy according to M1030:
Answer
  • Central line for medications
  • Insulin pumps
  • Saline flushing
  • TPN

Question 37

Question
All, but one, are not considered as enteral therapy according to M1030:
Answer
  • Osterized feeding administered through nasogastric tube.
  • NGT used for medication administration only.
  • Saline Flushing feeding to keep NGT patent.
  • NGT used for feeding and medication but without prescription for therapy which provides nutrition.

Question 38

Question
When is the CMS 485 updated or reviewed?
Answer
  • Every 15 days
  • Every 30 Days
  • Every 45 Days
  • Every 60 Days

Question 39

Question
Supplies require a physician order.
Answer
  • True
  • False

Question 40

Question
DME supplies require a prescription from the MD but do not require documentation of medical necessity.
Answer
  • True
  • False

Question 41

Question
All, but one, can trigger a need for a supplemental order.
Answer
  • Updates
  • Change in medication regimen
  • New orders
  • Correction of visit frequencies

Question 42

Question
Which of the is/are elements of a good verbal order:
Answer
  • Name of the Patient
  • Name of the Ordering Physician
  • The order
  • Manner of acquisition and verification
  • Name of the clinician verifying the order
  • All of the above

Question 43

Question
After the Clinical Manager assigns an admitting clinician who will do the admission visit, what should the admitting clinician do FIRST?
Answer
  • Call the patient for verification of available schedule for the admission visit.
  • Call the DME provider for verification of equipment.
  • Call the pharmacy for verification of medications.
  • Do the admission visit within 24 to 48 hours.

Question 44

Question
During the actual admission visit, which of the following should the admitting clinician FIRST do?
Answer
  • Introduction and Legal paperwork
  • Assess the environment of care
  • Medication Reconciliation
  • Develop an Interim Plan of Care

Question 45

Question
Which of the following items IS NOT considered PHI:
Answer
  • Name
  • Photograph
  • Fax Number
  • Medical Record Number
  • None of the above
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