Ethical Principles
This ethical principle means "do no harm"
What is nonmaleficence?
HIPPA stand for
What is Health Insurance Portability and Accountability Act?
This section of a SOAP note contains measurable data
What is the Objective section?
" Pt trained in LE strengthening exercises with verbal cues for proper eccentric loading form"
What is skilled documentation? What is strong documentation?
Payment by the patient or insurer to the health care provider for services
What is reimbursement?
Respecting a patient's right to refuse treatment demonstrates this principle
What is autonomy?
Discussing patient information in an elevator is an example of this
What is a HIPAA violation?
Patient-reported pain after last tx session belongs in this SOAP section
What is the Subjective section?
The note describes skilled interventions, functional limitations, and measurable progress
What is medical necessity?
This insurance is federally funded and pertains to payments for physician services, OP services, DME, lab work and preventative services
What is Medicare Part B?
Admitting to a patient when a specific intervention is outside the therapist's expertise and referring them to an appropriate specialist
What is veracity?
This type of information includes names, diagnoses, and medical record numbers.
What is protected health information (PHI)?
Clinical interpretation of progress belongs in this SOAP section
What is the Assessment section?
CPT code 97110
What is therapeutic exercise?
The Prospective Payment System (PPS) in Outpatient Physical Therapy is based on this
What is the Medicare Physician Fee Schedule (MPFS)?
Ensuring one doesn't rush through a Medicaid patient's session in order to spend more time with a patient whose insurance offers higher reimbursement rates
A PTA documenting treatment not actually performed may be guilty of this.
What is fraud?
Future treatment suggestions belong in this SOAP section.
What is the Plan section?
Uses objective measurements, documents patient response, uses approved abbreviations
What are Do's of documentation? What is acceptable documentation?
This setting utilizes Case-Mixed Groups to classify the relative intensity that would typically be associated with the patient's clinical condition.
What is SNF? What is Skilled Nursing Facility?
Following through with professional responsibilities demonstrates this principle.
What is fidelity?
The legal term describing failure to provide appropriate care is this
What is negligence?
“Patient ambulated 150 ft with RW and CGA” belongs in this SOAP section
What is the Objective section?
What is two units?
This timed code refers to the use of dynamic activities to improve functional performance
What is therapeutic activity? what is 97530?