legislation/laws Flashcards

1
Q

What is AC MRDD?

A

Accreditation Council for Services for Mentally
Retarded and Developmentally Disabled

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2
Q

What is the National Alliance for the Mentally Ill?

A

Provides support groups open to clients & families with a focus on education and support for mental illness

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3
Q

Americans with Disabilities Act of 1990

A

prohibits discrimination based on disabilities
- access to buildings (places of public accommodation- hotels, restaurants, commercial facilities)
- accessible parking spots 36 inches wide

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4
Q

Child Abuse Prevention & Treatment Act (CAPTA)

A

Defines child abuse & neglect as mental or physical injury, negligent treatment, maltreatment, or sexual abuse of a child under 18 by a person responsible for child’s welfare under circumstances that indicate a child’s welfare or health is threatened/harmed

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5
Q

Older Americans Act of 1965 (OAA)

A

goal of supporting older Americans to live at home and in the community with dignity and independence for as long as possible
Aging in Place

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6
Q

Section 508 of the Rehabilitation Act

A

federal law that requires agencies to provide individuals with disabilities equal access to electronic information and data comparable to those who do not have disabilities

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7
Q

Section 504 of the Rehabilitation Act

A

a federal civil rights law that prohibits discrimination based on disability in any program or activity operated by recipients of federal funds

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8
Q

Section 501 of the Rehabilitation Act

A

prohibits employment discrimination against people with disabilities in the federal sector
- no min # of employees at worksite to be covered

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9
Q

Rehabilitation Act of 1973

A
  • Affirmative action
  • Prohibits discrimination on basis of disability in any program or activity that receives federal assistance
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10
Q

Patient Protection & Affordable Care Act (ACA)

A

Improve accessibility, fairness, quality, efficiency, accountability, affordability of health insurance coverage in the US

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11
Q

Health Insurance Portability & Accountability Act (HIPPA)

A
  • safeguards to assure individual’s right to continuity in healthcare coverage
  • privacy & security of healthcare records
  • all providers protect patient confidentiality in all forms (oral, written, electronic)
  • implement appropriate physical, technical, & administrative safeguards to assure this privacy
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12
Q

what are exceptions to confidentiality?

A
  • mandatory reporting of suspected abuse
  • information required by law during court proceedings, and documentation of communicable diseases to public health agencies
  • Posting photos of a patient on social media is only allowed if written consent is provided
  • no electronic health information or anything, including photos, that may reveal a patient’s identity or personal or therapeutic relationship, without the patient’s written consent
  • for research, any protected health information (PHI) that can identify a patient or the patient’s relatives, employers, or household members, must be omitted before being used
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13
Q

Medicare Title 18-PL 89-97 (Social Security)

A
  • Established Medicare & Supplemental Security Income (SSI)
  • SSI enables people with disabilities to receive a monthly income enabling them to live in the community
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14
Q

Medicare Part A

A

hospital insurance
- acute care (min 5 days/week with OT)
- part of expenses in inpatient hospital stay (PPS)
- short term stay at SNF (100 days with OT 5x per week)
- psychiatric hospital
- hospice with less than 6 months to live
- some home health (must be homebound, require skilled services, OASIS determines)

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15
Q

does Medicare Part A require monthly premiums?

A

no, payroll taxes for individuals/spouses have already paid for it

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16
Q

is DME covered in a SNF?

A

yes, under Medicare Part A, commode chairs, hospital beds, patient lifts are covered

17
Q

Medicare Part B

A

supplementary medical insurance
- outpatient care: OT 3x per week
- some home health
- some supplies & equipment (only DME)

18
Q

Medicare Part C

A

medicare advantage plan
- offered by private company that contracts with medicate

19
Q

Medicare Part D

A

prescription drug coverage

20
Q

what part of medicare is hospital insurance?

A

Part A

21
Q

what part of Medicare is supplementary medical insurance?

A

Part B

22
Q

What is considered DME?

A

walkers, wheelchairs
- not AE (reachers)
- may cover bedside commode depending on patient’s condition

23
Q

when is someone considered homebound?

A
  • help of another person or medical equipment to leave your home or health could get worse if leaving home
  • Dr evaluates/recertifies POC every 60 days
  • can still leave home for medical treatment, religious services, accredited adult day care center
  • can leave home for short periods for non-medical events (family reunion) without affecting homebound status
24
Q

What medicare G code indicates goal status?

A

G8988

25
Q

what medicare G code indicates goal discharge?

A

G8989

26
Q

what does the medicare G code of CH mean?

A

severity modifier/least severe

0% impaired, limited, restricted

27
Q

what does the medicare G code of CN mean?

A

severity modifier/most severe

100% impaired, limited, restricted

28
Q

school based documentation

A

IEP

29
Q

early intervention documentation

A

IFSP

30
Q

IEP

A

written document detailing student’s academic needs/functional goals in that setting
- collaboratively developed with family/team members
- ages 3-21 years
- must relate to ability to perform school-related tasks

31
Q

IFSP

A

early intervention (birth to 3)
- lay terms documentation for parents to understand
- collaboratively discussed with family & team members when evaluations are complete

32
Q

how many credits are required for licensure renewal via NBCOT?

A

at least 36 credits during 3 year renewal cycle for OTs and COTAs

33
Q

PDU

A

professional developmental unit (renewal program)
- all can be completed online via webinars or online training

34
Q

CEU

A

unit of credit equal to 10 hours of participation in accredited program
- 1 single hour participating in a course is equal to 0.1 CEUs
EX: 2 hr lecture = 0.2 CEUs

35
Q

how long must copies of course completion be maintained after renewal?

A

4 years

36
Q

how are PAMs regulated?

A

by state, must have continuing ed

37
Q

precertification from insurance companies

A
  • form that must be submitted for services for some insurances