for quiz on 11/18

Question 1

What was used before we as a profession adopted a code of ethics?

Answer 1

The core values

Question 2

Focuses on compliants/ files against practitioners. Also works on monitoring and updating code of ethics

Answer 2

The ethics commission

Question 3

Guides practitioners to take appropriate ethical action

Answer 3

Ethical reasoning

Question 4

Demonstrate a concern for the safety and well-being of the recipients of their service

Answer 4

Beneficence

Question 5

Intentionally refrain from actions that cause harm

Answer 5

Nonmaleficence

Question 6

Respect the rights of the individual to self-determination

Answer 6

Autonomy & confidentiality

Question 7

Shall provide services in a fair and equitable manner

Answer 7

Social justice

Question 8

Shall provide comprehensive, accurate, and objective information when representing the profession

Answer 8

Veracity

Question 9

Shall treat colleagues and other professionals with respect, fairness, discretion, and integrity

Answer 9

Fidelity

Question 10

The process of assessing and validating qualifications

Answer 10

Credentialing

Question 11

Legal domain of practice for occupational therapy practitioners

Answer 11

Scope of practice

Question 12

Recognition that an OT or an OTA has met professional requirements and is authorized to use certification marks

Answer 12

NBCOT certification

Question 13

Process by which government grants permission to engage in practice

Answer 13

Licensure

Question 14

A law passed by the state or federal government

Answer 14

Statute

Question 15

What protects consumers from unqualified or unscrupulous practitioners

Answer 15

The regulation of OT

Question 16

What are the 4 levels of regulations

Answer 16

Licensure, certification, registration, title control

Question 17

The act of representing yourself exactly as you are

Answer 17

Title control

Question 18

A law that is established by an individual state to regulate health care professionals within that state

Answer 18

Practice act

Question 19

Please note

Answer 19

When filing a complaint with AOTA/NBCOT they can only disciple those registered with the organizations

Question 20

Supervision with a mentor, continuing ed, payment of a fine, or suspension or revocation of a license

Answer 20

Some possible disciplinary actions

Question 21

Can an OT aide supervise OT practice

Answer 21

No

Question 22

Face to face contact between supervisor and supervise

Answer 22

Direct supervision

Question 23

Non face to face contact between supervisor and supervise

Answer 23

Indirect supervision

Question 24

Which type of supervision requires daily, direct contact at the site of work?

Answer 24

Close

Question 25

which type of supervision requires direct contact at least every 2 weeks at the site of work, with interim supervision occurring by other methods such as telephone or written communication

Answer 25

routine

Question 26

which type of supervision requires at least monthly direct contact with supervision available as needed by other methods

Answer 26

general

Question 27

which type of supervision requires only as needed basis, and may be less than a month

Answer 27

minimal

Question 28

``` the degree, amount, and pattern of supervision required can vary depending on the practitioners: competence service demands state laws/ third party payers case characteristics ```

Answer 28

conditions of supervision

Question 29

who determines how much supervision is required in a particular setting?

Answer 29

the OTR/L

Question 30

Standardized intervention protocol for specific diagnosis

Answer 30

Clinical pathway

Question 31

Centers for Medicare and Medicaid services

Answer 31

Cms

Question 32

Code that describes medical reason for condition for services

Answer 32

Diagnosis code

Question 33

Cms category that determines level of payment

Answer 33

Diagnostic related group (drg)

Question 34

Method of maintaining control over healthcare costs, includes hmo and ppo

Answer 34

Managed care

Question 35

Levels of care are classified to be used for reimbursement purposes in snfs

Answer 35

Resource utilization group (rug)

Question 36

10 digit code for facility/provider (mainly for Medicare)

Answer 36

Npi or national provider information

Question 37

Method of payment for predefined health care services

Answer 37

Pps or prospective payment system

Question 38

Companies who are primary reimbursers for healthcare services (bc/bs, hphc, etc)

Answer 38

Third party payers

Question 39

Established in 1965 as part of the security act. | For people 65 or older, people with permanent kidney failure, black lung disease or on social security for over 2 years

Answer 39

Medicare

Question 40

OT treatment is covered if: under MD care prescribed by physician with certified care plan Provided by qualified otr or cota under supervision of otr requires skills of an otr or cota reasonable and necessary for treatment of a persons illness or injury must show significant improvement in level of function within reasonable period of time

Answer 40

Medicare coverage for ot services

Question 41

Inpatient acute care hospitals snf up to 100 days (first 20 days free IF 3 night stay in hospital) inpatient rehab facility long term care hospital hospice care home health care (ot, pt, speech) inpatient psych hospitals (lifetime amount of 190 days) includes specific time limits, deductibles, and copay of 20% for home health care

Answer 41

Medicare Part A

Question 42

Hospital outpatient services (subject to $1900/year cap) snf (after 100 days part A) home health care (not covered under part A) private practice OT Dme (not adaptive) (splinting or repositioning) outpatient mental health services mental health partial hospital programs includes: no specific time limit, but 20% copay applies

Answer 42

Medicare Part B

Question 43

Medicare health plan offered by a private company that contracts with Medicare to provide you with all your part A and B benfits also known as part C or MA plan medicare advantage plans include health maintanance organizations, preferred provider organization, private fee-for-services plans, special needs plans, and Medicare medical savings account plans Medicare services are covered through the plan and aren't pad for under original Medicare

Answer 43

Medicare advantage plans

Question 44

Prescription drug coverage these plans add drug coverage to original Medicare, some Medicare cost plans, some Medicare private fee-for service plans, and Medicare medical savings account plans CANNOT HAVE PART C AND PART D COVERAGE AT THE SAME TIME

Answer 44

Medicare Part D

Question 45

Provides for "free appropriate public education that includes special education and related services to meet their unique needs"

Answer 45

Idea