FCE- Power Point Flashcards

Question

Is a full standardized FCE always needed?

Answer 1

No, could either do: •Work hardening or conditioning program

Answer 2

1. Patient is no longer making functional gains with treatment 2. Patient has not returned to full or modified duty 3. Patient is working, but having difficulty maintaining job/activity function 4. Report from health care provider that patient displays discrepancy between subjective complaints and objective findings 5. Patient requires an opportunity to demonstrate safe performance of functional tasks 6. Supporting documentation is requested to: - Determine disability or loss of earning capacity - Assist with litigation settlement or case resolution - Assist with future rehab or vocational planning - Help render a job-placement decision

Answer 3

* Performance of the test would compromise the patient’s safety or medical condition * Communication barriers prevent understanding instructions, communicating concerns, and interpreting the patient’s responses during the FCE * Patient does not give consent to participate in an FCE

Answer 4

* Intake information & record reviews- Contraindications/precautions for testing * Client questionnaire and informed consent * Client interview - History - Systems review - Insight into patient’s perceptions about their own abilities

Answer 5

* Physical examination and referral questions * Functional performance measurements * Observation of patient- Measures of full effort * Evaluation of history, records, and test results to recommend safe work abilities * Comparison of patient’s safe work abilities with job demands

Answer 6

* Data Gathering * Objective

Answer 7

Can it reliably measure the functional physical ability of a person to perform a work-related series of tasks? * Intra-rater reliability * Inter-rater reliability: * Test-retest reliability: Are repeated tests comparable on the same subject * Reliable effort: repeat tasks over a period of time and then compare the effort over time- Be as objective as you can be

Answer 8

Does it measure what it intended to measure? * Face validity: Does it measure what it intends? * Content validity: Is this going to accurately portray ability to return to work? * Criterion related validity: Compared to the Gold Standard? Generalizability: * NOT generalizable * Job specific measurements

Answer 9

❖Any employee of a company that has more than 3 full time workers ❖If the correct job is being performed but in haste, the employee is still covered. ❖If the incident occurs because of another employee’s wrong doing, the injured employee is still covered. ❖Occupational related diseases ❖Repetitive motion injuries (doesn’t have to be traumatic)

Answer 10

❖If the injury occurs during employee misconduct (fight, horseplay, drug or alcohol abuse on the job, etc.) all rights of worker’s compensation are revoked. ❖Spouses are not covered like they may be if there is health insurance provided through a company. ❖Heart attack or stroke

Answer 11

❖Physician’s Visits ❖Surgical Procedures ❖Imaging ❖Therapeutic Interventions ❖Pharmacological Interventions

Answer 12

1. Report 2. Find a Physician 3. Follow your treatment plan 4. Close Claim OR Settle

Answer 13

❖Temporary Total Disability Benefits ❖Temporary Partial Disability Benefits ❖Permanent Partial Disability Benefits ❖Death Benefits

Answer 14

❖“No more than four physical medicine procedures, modalities or time units will be reimbursed in one visit by each type of medical provider. No more than two of the four CPT code charges can be modality codes” ❖CPT Code: 99750 ➢Limit of $600 reimbursed ➢Work rehabilitation programs fall under the same code 2 Codes per treatment session: max amount $267 ❖Modifier 59 ➢Ability to perform physical performance tests/measures plus and FCE in the same day

Answer 15

“You shall be guilty of a ***misdemeanor*** and upon conviction shall be punished by a ***fine of not more than $10,000 or imprisonment up to 12 months,*** or both for making false or misleading statements when claiming benefits. Also, any false statements or false evidence given under oath during the course of any administrative or appellate division hearing is perjury”

Answer 16

1. A work conditioning program can be combined with a work hardening program to make a work rehab program focusing on restoring functional abilities required for specific occupations to return the patient to work 2. Psychosocial factors are the most significant predictors of RTW and chronic work disability 3. We as PTs need to include identification of flags with appropriate instruments to modify our treatments accordingly 4. FCEs are important tools as they assist with return to work decisions, establishing work limitations, case closure, disability determination, and intervention strategies 5. Worker’s Compensation is a very intricate system that provides an array of benefits to your patients 6. Billing for worker’s compensation patients is somewhat of a different process and requires extra attention to detail for proper usage