HCM Flashcards by Elizabeth Bianchi-Knod

Which of the following is more leadership oriented than management oriented?

Determining strategies for the future

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Extrinsic theories of motivation include?

Skinner reinforcement theory

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Maslow’s needs-based theory of motivation includes the following types of needs:

belonging

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This generation is respectful of authority, values duty, sacrifice, accountability, and recognition of hard work and a strong work ethic

Traditionalists

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How a person understands and acts in an organization depends on:

How the person sees and thinks about the situation

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_____ are mental shortcuts in judgement and decision making

Heuristics

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The failure to provide a service whose benefit is greater than its risk is the definition of which term?

Underuse

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A clinically relevant outcome measure in prosthetics is:

6mWT
TUG
AMP
ABC

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Who is EBP used in everyday setting

clinicians search for evidence to support of refute their practice methods and support the treatment plan

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When analyzing the economic effectiveness of a body jacket treatment, what types of analysis are most appropriate

Cost minimalization

Cost effectiveness

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How do the Mission, Vision, and value statements tie to the strategic plan?

They are reaffirmed during the planning process to ensure they are aligned with future strategic decisions

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Which aspect(s) of the SWOT analysis aim to identify external market forces?

Market Assessment

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Strategic healthcare marketing seeks to satisfy customer needs through profitable relationships by creating, communicating, and delivering ___ in selected markets

customer value

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When marketing savvy medical practices divide the total market group into groups that have relatively similar healthcare needs they are implementing

market segmentalization

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By placing the capacity aspects of disability on a continuum with health, which disability model makes it possible to measure health and disability with the same domains of functioning?

ICF

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Modification fo the model, tracing, or CAD data is part of which domain of the ABC Scope of Practice?

Implementation of the treatment plan

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Consulting with the physician/referral source to modify, if necessary, the original perscription and or treatment plan would be a task in what domain of the ABC practice analysis

formulation of the treatment plan

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ABC certified CPOs are bound by the code of professional responsibility. What is the minimum PCEs required for continuing ED

100 hours per 5 years

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According to CMS, who is identified as a qualified practitioner to provide O and P services?

ABC or BOC certified practitioners

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If a TT patient came in with a worn out SACH foot 1 year after the delivery of the prosthesis, what is allowed under the ABC code of professional responsibility?

Replace foot with the same type of foot without a prescription

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The grieving process in losing a limb has been compared in intensity to:

losing a spouse

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A new patient becomes very upset with you for dropping their AFO. What is the most likely stage of psychological adjustment to their loss

Anger

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Some of the benefits of effective healthcare team are

Improved coordination of care
more efficient use of health care services
increased job satisfaction
higher patient satisfaction

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What is a major barrier to rehabilitation teamwork in most O and P settings

geographic locations create barriers to assembling the team

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Define the major purpose of AAOP

continuing education

What is the function of the OandP PAC

It offers OandP professionals an opportunity to combine their individual contributions to support candidates

NCOPE is:

the OandP school and residency accreditation organization

What is the most important purpose of OandP licensing across all states

Protect customers

OandP 'reciprocity' is a growing issue in the US. Which entities does it affect the most

All the above

The OandP alliance is built upon 3 consensus priorities

quality of care and practitioner qualifications, OandP coverage and reimbursements, OandP education and research

The AOPA major functions

government relations efforts to raise awareness about OandP profession and impact policies affecting the future of the industry; also provides members with tools anf services to improve business operatations

Which community of interest is likely to be most supportive of the Medicare OandP Improvement Act

The Amputee Coalition

Why is 'parity' an important consumer issue for people with limb loss

It ensures that OandP services will be rendered by a qualified practitioner

How is EMR used in O&P practice

Patient intake Patient records Ordering Materials management

By definition, which of the following is true about EMR

considered a legal record

If the OandP facility is HIPAA compliant, the patient must sign acknowledgement that they have received which form on their initial visit?

Notice of Privacy Practices

The OandP practice may use and disclose medical record for the following purpose:

treatment payment ordering OandP components

'Patient complains of pain at the distal tibial and comments that the soreness began 1 week ago" is from what part of SOAP

S - subjective

The goal of the initial patient visit and interview is to get the patient involves in two plans:

Treatment plan and financial plan

What is the most important objective of intitial patient interview

get them involved in the treatment plan

the patient progress note must be signed by the practitioner for each visit

true

An OandP patient has service provided by your company which has a contract with a large MCO. At the initial patient interview, and in the subsequent progress note, what do you need to include in the plan?

Cast the patient today and will submit an authorization request to patient's MCO for approval

Which of the following is not necessary on a Medicare compliant OandP prescription (detailed)

patient signature of ackowledgement

The type of costs that can be traced to a particular patient, for instance pylon components or liners are:

direct costs

How can an individual practitioner increase the gross margin for a product delivery?

decrease the practitioner labor costs be delegating work to an assistant

Types of costs that change directly in relation to changes in volume are called?

variable costs

Access to the care specialist physicians is most limited in which type of health plan?

HMO

The primary goal of managing accounts receivable is to:

reduce collection period for payment for services

Capitation refers to what concept(s) in the healthcare environment?

- Capitation shifts the risk of coverage from the insurer to the provider of health care - Capitation is a per person, per month fee paid by an employer to a healthcare provider

Sort OandP reimbursement from higher to lower

Medicare, HMO contract, Medicaid

In the US, OandP profit leaders, the billings per practitioner averages

479,000

Which of the following is NOT one of the major market segments in O and P?

Upper limb Orthotics

What does WIP stand for and how can you use it as a practitioner

Work in Progress used to check the status, estimated billing, again, and expected delivery date.

Medicare Assignment means that you as a provider will accept the 80% of the allowable fee that Medicare pays as your entire payment and that you may waive the other 20%

False

In the medicare system, Part A is ____ insurance and part B is ____ insurance

hospital, medical (outpatient)

What does acceptance of the medicare assignment mean?

you will accept medicare allowable rates, 80% from medicare, 20% from pt.

For justification of a custom device under medicare guidelines, documentation in the clinical notes must support what?

All components in the custom device are medically necessary

If the ABO is not signed, the medicare beneficiary may still be billed for the Oand P item

False

What administrative documentation is required for every medicare billing

Detailed Rx with patient's name, description of item(s), phys signature, date of order

What is the purpose of Proof of Delivery form?

required verification that the DMEPOS device was received by the beneficiary

A managed care plan sees to manage:

Cost Quality of care Access to healthcare

Under an MCO contract, the O and P provider typically sets their prices via what mechanism?

medicare allowable rates on L-codes

What is the role of the primary care physician in the MCO

Acts as the gatekeeper to other medical specialities. Responsible for overall care of MCO members

Which definition most closely describes a group model HMO

sub-contracts with medical groups/IPA's to provide services in one or more locations

Performance appraisals are useful to:

- identify areas of improvement - adjust compensation based on performance - decide promotions of staff

recent information from the literature concerning employee perception suggests that:

benefits are more important than compensation

Position descriptions are necessary to:

- define employer expectation - specify job duties - identify knowledge, skills, and training required

Which of the following indicates the need for more health care workers in the future?

aging baby boomers

Benefits of a diverse health care workforce include

- decreased turnover - less lawsuits - greater access for the underserved - greater cultural competance

Vulnerable populations are most exposed to risks from:

- marketing unhealthy foods - lack of access to care - alcohol marketing

a wrongful act against a person or organization is considered what type of violation

tort

Which of the following are obligation of a managed care organization to its patients

- fiduciary duty - using competent providers - providing appropriate care - balancing cost-containment with good quality care

succinctly, what is medicare

public health insurance for the elderly

Define the term for the group ultimately responsible for medical payment of a procedure

risk

individuals with chronic illness and disability (CID) go through a process of adaptation where the disability becomes an integrated part of the individual

true

Which is typically of longer duration?

depression with more general and diffuse nature

Reactions to amputation are

- denial and anxiety - shock and anger - sadness and guilt

Which one of the following is not one the the five transtheroretical model stages of change?

Anger

Traditional medical models regard disability as imposed by society whereas current models explain disability as self-imposed

False

Attitudes are comprised of several components including:

- feelings - beliefs - actions

HCM Flashcards

(80 cards)