1. Medicare will pay for:
AAll care requested by the recipient
BAll care requested by the doctor
CAll care requested by the long-term care facility
DOnly care that is determined to be medically necessary


  1. ________ is a medical assistance program for low income people.
AMedicare
BMedicaid
CCMS
DOSHA


  1. Regular inspections performed in facilities to make sure they are following state and federal regulations are called:
ASurveys
BCitations
CProcedures
DLicenses


  1. Which of the following is a core value associated with culture change?
ADoing for residents the same way

Verified Answer :

Final answer:

Medicare provides coverage only for services deemed medically necessary, while Medicaid assists low-income individuals. Regular inspections, called surveys, ensure compliance with health regulations in facilities. Culture change in healthcare emphasizes personalized care over standardized approaches.


Explanation:

Overview of Medicare Coverage


Medicare is a federally funded program that provides health insurance primarily for individuals aged 65 and older, though it also covers some younger individuals with disabilities. Regarding coverage, the correct answer to the first question is d. Only care that is determined to be medically necessary. Medicare does not cover all requested services; it only pays for services that are deemed medically necessary by a healthcare provider.

Medical Assistance Programs


According to the second part of the question, the appropriate answer is b. Medicaid, which is a medical assistance program designed for individuals and families with low incomes. Medicaid provides crucial benefits like hospital and physician services, nursing home care, and various health services based on financial eligibility.

Regulatory Inspections


The third question pertains to the inspections conducted in healthcare facilities to ensure compliance with legal standards. The right answer here is a. Surveys. These surveys help ensure that facilities meet state and federal regulations, improving the quality of care provided to residents.

Core Values in Culture Change


Concerning the core values associated with culture change in healthcare, the focus is on enhancing resident autonomy and personalized care, rather than delivering services in a standardized manner. It encourages facilities to support residents' preferences and individual choices, rather than doing things the same way for everyone.


Learn more about Medicare and Medicaid here:

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