Federal Nursing Home Administrator Practice Exam

If an applicant for the administrator position disregards Medicare reimbursement policies affecting case mix, how would this be viewed?

1. As a valuable perspective

2. As ideal for the facility

3. As being out of touch

4. As a common belief

The correct answer is: As being out of touch

Disregarding Medicare reimbursement policies that directly impact case mix would indicate a significant lack of understanding of essential financial and operational principles within a skilled nursing facility. Case mix affects the types of patients admitted and the reimbursement rates the facility can receive. An administrator must be acutely aware of these policies to ensure proper budgeting, financial stability, and compliance. When an applicant shows disregard for these policies, it suggests they are not keeping up with critical aspects of healthcare governance that directly affect the facility’s operations and survival. This perception of being "out of touch" can concern stakeholders, as effective leaders are expected to stay informed about pertinent regulations and mandates that govern reimbursement. Emphasizing knowledge and awareness of such policies is crucial for administrators, making it clear that being uninformed or dismissive could lead to mismanagement and financial challenges for the nursing home.