Final

Question 1

Time setting determined by third-party payer

Answer 1

Medical setting

Question 2

Time period not as limited. Therapy continues while student attends school

Answer 2

Educational setting

Question 3

What are the three discharge requirements in the educational setting

Answer 3

– Goals met
– 21 years old
– Ed goals become med problem

Question 4

Qualifications for PT in the school system

Answer 4

– Has difficulty moving in school
– Cannot ambulate independently
– Has balance problems

Question 5

What is considered maintenance therapy

Answer 5

– No progress shown
– Goals met
– Received allowable amount of service covered by payer

Question 6

What are the most common types of telephone communication

Answer 6

– Verbal referrals
– Info from pt
– Inquiries about pt’s medical condition

Question 7

What is the difference between The medical setting and educational setting

Answer 7

Time period tx is allowed

Question 8

What is required when documenting a TO/VO

Answer 8

– date
– name
– Name of PCP
– Details of referral 
– name of person taking TO

Question 9

A legal procedure to ensure that a patient knows all of the risks and costs involved in treatment

Answer 9

Informed consent

Question 10

What three components must occur for informed consent

Answer 10

– pt is aware of risks
– Voluntary
– Competence

Question 11

What does IEP consent include

Answer 11

– Services provided
– Time limit
– Frequency of treatment

Question 12

When should you file an incident report

Answer 12

– Something out of the ordinary
– An accident
– Unusual routine or procedural

Question 13

What is the purpose of incident reports

Answer 13

Risk management in legal protection

Question 14

What is included in an incident report

Answer 14

Dash name and address
– Objective description
– Identification of witnesses

Question 15

True/false: document incident in chart, but do not document a report was filed

Answer 15

True

Question 16

When patient refuses treatment PTA should:

Answer 16

– Determine reason
– Educate patient
– Document refusal-notify PT

Question 17

What is included in documenting treatment refusals

Answer 17

– Statement of refusal
– Reason for refusal
– PTAs response
– Statement about notifying PT

Question 18

Describes procedures/treatment provided. Created by AMA

Answer 18

CPT codes

Question 19

Based on total time actually spent in the delivery of the service. Require constant patient contact

Answer 19

Time – based codes

Question 20

8-22 min per unit

2 units= 23-37 min

Answer 20

8 minute rule

Question 21

Untimed, unattended codes. Require supervision of clinician.

97010-97028. 97150. 97001-97002

Answer 21

Service-based codes

Question 22

Can only be billed once per treatment session

Answer 22

Service based codes

Question 23

When a procedure or modality is not paid as distinct and separate

Answer 23

Bundling

Ex. Hot/cold packs

Question 24

Alphanumeric codes based on CPT codes. Uses numbers and letters. Created by CMS

Answer 24

HCPCS codes

Question 25

Created by WHO. Up to seven characters. First character Alpha second is numeric

Answer 25

ICD-10 codes

Question 26

Two digit codes added to CPT anD HCPCS codes that provide additional information about billed procedure

Answer 26

Modifiers

Question 27

Requirement for reporting on Medicare beneficiaries' function and condition

Answer 27

G-Codes

Question 28

Attended service requiring one on one patient contact. Most time based codes. 15 min increments billing

Answer 28

Constant service

Question 29

Unattended service requiring supervision by clinician. Supervised modalities. Only one unit

Answer 29

Supervised services

Question 30

One clinician treating one patient

Answer 30

Individual

Question 31

Two clinicians treating one patient at the same time. Cannot double bill

Answer 31

Co-treatment/team therapy

Question 32

One therapist treating two patients for different activities

Answer 32

Concurrent

Question 33

Involves 2-4 pts being treated at the same time. Medicare a can only bill 25%

Answer 33

Group therapy

Question 34

Standardized assessment tool of health status

Answer 34

MDS

Question 35

Time period when patient is assessed for MDS reporting and RUG level

Answer 35

Assessment period

Question 36

Last day of MDS seven day

Answer 36

ARD

Question 37

Classifies patients in LTC facilities based on care required

Answer 37

RUG levels

Question 38

``` RUG Ultra high Very high High Medium Low ```

Answer 38

``` 720 500 325 150 45 ```

Question 39

Minimum # min for daily tx=

Answer 39

Minimum RUG min/# of tx sessions per week