Ethics/Laws/Regulations
This is defined as moral principles governing a person's conduct
You worked with your client for 36 minutes of neuromuscular re-education and 12 minutes of gait training. What are your total billable units?
What is 3?
You worked with your client on functional sit to stand transfers, bed mobility, and floor transfers. What CPT code would this be billed under?
This is a federally run regulatory agency concerned with the health and safety of workers.
What is OSHA (Occupational Safety and Health Administrations)
This term refers to the process used by employers or claims administrators to review treatment to determine if what the PT/PTA is doing is medically necessary.
This ethical principle refers to the right of patients/clients to have choices and make their own decisions regarding their care
What is Autonomy?
You worked with your patient for 5 minutes of gait training, 15 minutes of neuromuscular re-education, and 10 minutes of therapeutic exercises. What are your total billable units?
You worked with your patient on stair negotiation, navigating ramps, and community ambulation. What CPT code would these interventions be billed under?
What is gait training?
This is when you will be eligible to sit for the PTA exam after you've completed your graduation requirements.
When is July
This is defined as the payments of funds by a patient or an insurer to the provider for services rendered
What is reimbursement?
This is a situation when a person has a greater likelihood of developing a certain disease as a result of belonging to a certain ethnic group, race, or gender.
What are health care disparities?
You worked with your patient for 32 minutes of gait training, 10 minutes of neuromuscular re-education, and 15 minutes of therapeutic exercises. What are your total billable units?
What is 4 units?
You performed soft tissue mobilization, scar tissue mobilization, and joint mobilization on a client who just had a knee replacement. What CPT code would these interventions be billed under?
What is manual therapy?
Massachusetts requires 24 of these every 2 years in order to renew your PTA license
What are CEU's
This type of insurance is for patients over the age of 65 and covers most costs incurred while a patient is hospitalized as well as some portion of a short term stay in a SNF, homecare, and hospice.
What is Medicare A
This is a decision making framework used to guide ethical decisions in healthcare.
What is the RIPS model?
You worked with your patient for 10 minutes of therapeutic exercise, 12 minutes of neuromuscular re-education, and 10 minutes of gait training
What is 2 units?
You worked with your patient on stretching, improving knee mobility, and quad strengthening. What CPT code would this most likely be billed under?
What is therapeutic exercise?
Since October 2019 this insurance payment model looks at individual residents in the SNF and scores them into 5 categories in order to determine how much the facility will get paid (not according to how many minutes they participated in care as it previously was).
What is the PDPM (Patient-Driven Payment Model)?
With this type of managed care the patient is allowed greater choice in providers and are incentivized to use a provider within the network. These plans tend to have higher co-pays and out of pocket expenses for out of network providers.
What is a PPO? (Preferred provider organization)
Religion is related to a belief in a specific higher power and includes structured rules and rituals that people practice as part of their faith, whereas this is more of an internal process used to develop a sense of wellness and to find meaning in life.
What is spirituality?
You worked with a patient for 21 minutes of therapeutic activities, 15 minutes of therapeutic exercise, and 10 minutes of manual therapy. How many total units will you bill?
What is 3 units?
You worked with your patient on high level dynamic balance activities, hurdles, agility ladder drills, and motor control training. What CPT code would this most likely be billed under?
What is neuromuscular re-education?
This is when a healthcare worker fails to perform at a minimally acceptable level established to protect the public.
What is negligence
In 1997 congress restricted the total amount of annual coverage for rehabilitation services under Medicare B, which now requires PT and SLP to share a total of approximately $2400. This rule is referred to as what?
What is the Medicare Cap?