A Patient in a Nursing Home Refused Treatment

question 9

Multiple Choice

A patient in a nursing home refused treatment.The PTA treated the patient anyway and lied about the patient's response.Could there be legal action?

• A)Yes, the patient refused; the PTA should not have performed the treatment and should not have documented the refusal.
• B)No, the patient was in a nursing home and was not competent to make such a decision.
• C)Yes, if the PTA lied and the patient is competent to make that decision, the PTA should not have treated the patient and should have documented the refusal.
• D)No, the patient's family can refuse treatment, not the patient.

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Definitions:

Date of Service

The specific day when a healthcare provider performed a service or treatment for a patient.

Insurance Adjustment

The process by which insurance claims are reviewed and settled, including the calculation of reimbursement amounts.

Secondary Insurance

Exists when a patient is covered under more than one insurance plan; charges are first submitted to the primary carrier, and any charges not covered are then submitted to the secondary carrier.

Error on Claim Form

An error on a claim form refers to mistakes or inaccuracies found on insurance claim documents, which can lead to delays or denials in payment.