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Physician assessments and care plans affect the payment received by a long-term care facility (LTCF).

1. true
2. false

1 Answer

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Final answer:

It is true that physician assessments and the care plans they develop can indeed affect the payment that long-term care facilities receive, as payment systems like Medicare and Medicaid base reimbursement on patient needs documented in these assessments.

Step-by-step explanation:

It is true that physician assessments and care plans affect the payment received by a long-term care facility (LTCF). This is because in many healthcare payment systems, particularly those such as Medicare and Medicaid, reimbursement rates are often determined by the patient's clinical complexity and the level of care required, which is captured in the physician's assessment and documented in the care plan. The Resource Utilization Groups (RUG) system, for example, is a method used to categorize patients based on their care needs, and it directly influences the reimbursement rate the LTCF receives. Accurate and thorough documentation of patient care needs by physicians is therefore essential in ensuring that long-term care facilities are appropriately compensated for the services they provide.

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