PT Final Flashcards

1
Q

Body of rules of action or conduct prescribed by the controlling authority, has
binding legal force. May vary from state to state or program to program

A

law (statutes)

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2
Q

laws can be enacted by

A

congress, state legislators

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3
Q

Apply across state lines and supersede state laws

Apply to all citizens

A

federal law

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4
Q

American with Disabilities Act
Individual with Disabilities Education Act
Social Security Act are examples of blank law

A

federal

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5
Q

Regulations of education, professional licensure/certification/registration and insurance apply to
state

A

state law

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6
Q

Health Care Insurance Industry

The State Practice Act: New York State Physical Therapy Law Article 136 are examples of blank law

A

state

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7
Q

A rule the governs the action of individuals or organizations under the authority of a
particular agency

A

regulations

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8
Q

blank are Developed by governmental agencies, not legislature
Regulate a particular industry or program

A

regulations

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9
Q

example of blank regulation is Medicare and Medicaid CMS Regulations as part of the Dept. of Health and
Human Services

A

federal

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10
Q

example of blank regulation is State Physical Therapy Board regulates licensure procedures and prosecutes
professional misconduct

A

state

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11
Q

law created by court discussions (precedents

A

common law

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12
Q

Crimes that are considered to be infractions committed against society
The state prosecutes these actions on behalf of the public

A

criminal law

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13
Q

PT insurance fraud

Sexual abuse of a pt. are examples of blank law

A

criminal

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14
Q

Is concerned with wrongs committed among private parties

A

civil law

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15
Q

Negligence

Malpractice are examples of blank law in pt

A

civil law

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16
Q

Failure to act as a reasonably prudent person

A

negligence

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17
Q

Failure to mop up water on floor and someone slips and falls in your clinic is an example of blank in pt

A

negligence

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18
Q
Considered Professional Negligence
The failure to do something (not do something) that a member in good standing in a profession
would do (or not do) that caused subsequent injury
A

malpractice

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19
Q

Did not put towels under HP because she was too lazy to get them from front of clinic. is an example of blank in pt

A

malpractice

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20
Q

deals with delegation and supervision and states that you are responsible for the
treatments that you delegated, or clinic that you supervise. (different from negligence)

A

vicarious liability

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21
Q

Acts by licensed professional demonstrating their inability to competently perform the duties of a
licensed professional

A

professional misconduct

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22
Q

Physical or sexual abuse of a pt.
Patient abandonment
Improper delegation or supervision of treatment activities
Provision of unnecessary treatment
Fraud
Incompetence
Practicing while intoxicated are examples of blank in pt

A

professional misconduct

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23
Q

Not laws but statements which guide actions of a private organization

A

policies

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24
Q

APTA Code of Ethics

Standards of the Practice of Physical Therapy are examples of blank in pt

A

policies

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25
Q

One major effect of not having health insurance

A

bankruptcy

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26
Q

Performs an important social purpose in protecting
individuals and organizations against unforeseen
and severe financial loss is the purpose of blank

A

health insurance

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27
Q

Three ways healthcare is financed in U.S.

A

individual, employer, state or federal gov

28
Q

employee benefit is an example of blank health insurance

A

private

29
Q

blank is an example of state and local gov health insurance

A

medicaid

30
Q

blank is an example of federal gov health insurance

A

medicare

31
Q

blank is another way to pay for health insurance as an individual

A

out of pocket

32
Q
Established in 1965
◦ Federally funded
◦ Coverage for
 Elderly
 Persons with end stage
renal disease
 Permanently disabled
A

medicare

33
Q

year medicare was estblished

A

1965

34
Q
Indigent population
◦ Jointly funded by state
and federal
◦ Covered over 45 million
people in 2010
A

medicaid

35
Q

what percentage of uninsured did not attend college

A

60

36
Q

most uninsured people work or don’t work?

A

work

37
Q

percentage of uninsured people coming from working families

A

80

38
Q

The patient was free to see the provider of their
choice
◦ After the medical visit, the patient or PT clinic
would file their claim to the insurance company,
outlining services rendered and associated fees
◦ The insurance company would send payment
based on the usual and customary charges

A

indemnity (traditional insurance)

39
Q

the years before the healthcare crisis

A

1990s

40
Q

what the U.S. did to combat escalating healthcare costs

A

managed care organizations (MCO) such as Health maintenance organization (HMO)

41
Q

many pts lost their job because of this act and in what year?

A

Balanced Budget Act 1997

42
Q

the portion ofmedical costs to be paid by the patient
before insurance benefits begin, usually expressed in
dollars

A

deductible

43
Q

The monetary amount to be paid by the patient, each time a

service is provided usually expressed in terms of dollars

A

co payment

44
Q

In traditional health insurance, the monetary amount to be

paid by the patient, usually expressed as a % of charges

A

co insurance (cost sharing)

45
Q

Other name for “Obamacare”

A

Patient Protection and Affordable Care Act

46
Q

How PTs responded to changes in reimbursement

A

focused on evidence based practice

47
Q

direct access allows you to see a patient blank visits or blank days

A

10, 30

48
Q

These are the two reasons someone can be on Medicare other than age

A

End stage renal disease or a permanent disability

49
Q

Three healthcare workers that can refer patients to a PT

A

MD, DO, NP, PA

50
Q

work to restore or improve physical
abilities, perform tasks and make behavior
changes within their living and working
environments.

A

OT

51
Q

minimum OT degree

A

bachelor’s

52
Q

is a RN who earned a separate license
through additional education, usually in a
distinct specialty.

A

NP

53
Q

education of LPN

A

Practical Nursing 9 month program

54
Q

education of RN

A

bachelor’s

55
Q

work to enhance well-being, reduce the
physical and mental effects of stress and
tension, prevent disease, and restore health.

A

massage therapist (LMT)

56
Q

LMT stands for

A

massage therapist`

57
Q

education of LMT

A

complete a massage training program and pass state licensure exam

58
Q
independent health care professionals
who treat many conditions as they relate to
the spine, emphasizing the dependency of
health on the correct functioning of the
central nerve system
A

Chiropractor (DC)

59
Q

education of DC

A

2 + 4 from a chiropractic college

60
Q

Under the supervision of licensed
physicians ATCs provide services to individuals
who have suffered athletic injuries

A

athletic trainer (ATC)

61
Q

education of ATC

A

bachelor’s or master’s

62
Q

Licensed health care professional
responsible for diagnosing, evaluating, and
treating disorders of speech, voice,
swallowing, and/or language

A

speech-language pathologist (SLP)

63
Q

education of SLP

A

master’s

64
Q

helps individuals, families, and
groups/communities change behaviors,
emotions, attitudes, relationships, and social
conditions to prevent and resolve problems
caused by social and emotional stress.

A

social worker (LMSW/LCSW)

65
Q

education of LMSW/LCSW

A

LMSW = master’s, LCSW = earned MSW +3 years of supervised experience

66
Q

social worker abbreviations

A

LMSW/LCSW