Federal Nursing Home Administrator Practice Exam

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The concept that nursing homes should be reimbursed for their actual costs is part of what amendment?

  1. Social Security Amendment

  2. Affordable Care Act

  3. Hatch Amendment

  4. Medicare Modernization Act

The correct answer is: Hatch Amendment

The concept that nursing homes should be reimbursed for their actual costs is associated with the Hatch Amendment. This amendment was introduced to ensure that Medicare reimbursement for skilled nursing facilities (SNFs) more accurately reflects the actual costs incurred by these facilities in providing care to residents. The primary aim of the Hatch Amendment was to establish a prospective payment system that would provide fair and adequate reimbursement to nursing homes, taking into account the real costs of patient care. The other options, while related to the healthcare and nursing home industry, do not specifically address the reimbursement for actual costs of nursing homes. The Social Security Amendment pertains largely to the establishment and expansion of the Social Security program, while the Affordable Care Act focuses on broader healthcare reforms and access. The Medicare Modernization Act primarily deals with the introduction of Medicare Part D and the expansion of Medicare services, rather than directly addressing cost reimbursement for nursing homes. Thus, the Hatch Amendment is specifically connected to the cost reimbursement framework for nursing homes, making it the correct choice.