Author Question: Clients are entitled to home health care reimbursement if they meet certain criteria. The nurse ... (Read 58 times)

karen · **on:** Jul 23, 2018

Clients are entitled to home health care reimbursement if they meet certain criteria. The nurse would like to admit a client to home health care, but is worried about insurance reimbursement because the client:

1. Lives with a spouse.
2. Needs skilled care.
3. Needs intermittent care.
4. Drives a car for trips to the barber.

Question 2

The home health agency in a community is operated by the state health department and financed by taxes. This is an example of which type of agency?

1. Institution based
2. Private
3. Not-for-profit
4. Official

adammoses97 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 4
Rationale 1: Living with a spouse is allow for reimbursement by insurance companies.
Rationale 2: Needing skilled care is allow for reimbursement by insurance companies.
Rationale 3: Needing intermittent care is allow for reimbursement by insurance companies.
Rationale 4: Clients must meet certain criteria, including homebound status, except for occasional outings. Barber trips are included as occasional outings, but the client is not the driver.

Answer to Question 2

Correct Answer: 4
Rationale 1: Institution-based agencies operate under a parent organization such as a hospital and are funded by the same sources as the parent. That is not the situation described here.
Rationale 2: Private, proprietary agencies are for-profit organizations and are governed by either individual owners or national corporations. That is not the situation described here.
Rationale 3: Not-for-profit or voluntary agencies are supported by donations, endowments, charities such as the United Way, and third-party reimbursement. That is not the situation described here.
Rationale 4: Official or public agencies are operated by state or local governments and financed primarily by tax funds.