Author Question: A nurse is discussing the services that are covered under Medicare Part A with a client who has ... (Read 56 times)

Jramos095 · **on:** Jul 8, 2018

A nurse is discussing the services that are covered under Medicare Part A with a client who has recently become eligible for Medicare. Which of the following services is the nurse most likely to mention?

a. Blood draw to assess prothrombin time (PT)/International Normalized Ratio (INR)
b. Physical therapy visit
c. Stay in skilled nursing facility
d. Transportation by an ambulance

Question 2

An employee is able to receive health insurance from a former employer after changing jobs. Which of the following best describes the legislation that makes this possible?

a. Health Insurance Portability and Ac-countability Act (HIPAA)
b. Omnibus Budget Reconciliation Act
c. Balanced Budget Act of 1997
d. Social Security Act of 1935

dajones82 · **Reply #1 on:** Jul 8, 2018

Answer to Question 1

ANS: C
Medicare Part A covers hospital care, home care, and skilled nursing care. Laboratory and physi-cal therapy services and transportation by ambulance would be covered by Medicare Part B.

Answer to Question 2

ANS: A
HIPAA is a federal intervention to protect health insurance coverage for workers and families following a job change or loss. The Omnibus Budget Reconciliation Act was a major effort to regulate and control the costs of physician fees. The Balanced Budget Act of 1997 determined that payments to Medicare skilled nursing facilities (SNFs) would be made on the basis of pro-spective payment system (PPS). The Social Security Act of 1935 signaled the federal govern-ment's increasing interest in addressing social welfare problems.