Unit 2: Quiz 3 Flashcards
T or F: It is legal to see a patient without a physician’s referral if the patient’s insurance company allows Direct Access to PT services, even when the state does now allow Direct Access.
FALSE
In which situation is it acceptable to waive a copayment?
When it only happens occasionally and the patient meets federal or facility-specific poverty guidelines
Which of the following is an example of Medicare Fraud?
billing for services that were not provided
Which of the following statements are TRUE of documentation? (choose all that are correct)
- documentation should be clear and detailed enough that another therapist can follow your treatment without question
- documentation should reflect the care the patient received and how the patient responded
- progress notes should refer back to the initial exam to address the goals and show progress
all documentation should justify continued treatment - if it’s not written down, it didn’t happen
Which of the following is true regarding productivity standards for physical therapy?
high productivity standards can lead to job burnout and lack of job satisfaction
Which of the following is an example of Supportive skilled documentation?
Standing hip abduction to right lower extremity with 3# ankle weight for 3x10, with verbal cues for correct technique, in order to improve lower extremity strength.
Which is a Direct Cost of doing business?
Clinical Supplies
A physical therapist works for 9 hours (with a 1 hour lunch break) and sees 6 patients for 60 minutes each. What is the therapist’s productivity level?
75%
What type of cost is Advertising and Marketing?
Variable
Which of the following is a potential reason for a denial for reimbursement of the physical therapy services you provided?
a facility did not get insurance pre-authorization when one was required
