Chart Prep
PTA vs. PT
When to tell a PT...
Insurance/Billing
MISC
100

What does the phrase "Limited Support" mean on the schedule?

Can't bill for aide time

100

How often do PTAs have to renew their license? 

Every 2 years. Just like a PT!

100

A patient brings in goodies for the clinic. What is the most appropriate way to tell a PT?

TEAMS, or wait until PT is free and let them know!

100

How many minutes of treatment time is in 1 billable unit?

15 minutes

100

TRUE or FALSE: Punctuation is not that big of a deal in patient cases or HPIs.

FALSE. This is a medical record. Everything should read as a legal document.

200

What 3 things should be taken out of the chart on the visit after a re-evaluation? 

Progress visit (reason for visit), measurements, assessment should be reset to a daily

200

Nicole is covering for one of the PTs. She is the only provider in the building on a sunny Friday, is this ethical? 

Yes as long as she has access to a PT over the phone.

200
A new patient is checking in for an evaluation, and you are taking the BP. It is 165/100. What should you do next?  

A. Retest B. Call 911. C. Do nothing all of the patient's BP is high D. Retest and then verbally let PT know that the patient's BP was high.

D

200

A patient has BCBS insurance, and their secondary is Medicaid. Can you bill for aide time? 

No

200

TRUE or FALSE: You should not clock in for a staff meeting on your day off because...free food.

FALSE. Any time you are working for the clinic, you should be clocked in!

300
TRUE or FALSE: Re-evaluations for a PPO plan NEED to be done on the 2nd to last visit.
False. Re-evals can be done on the last visit or visit after as long as their is no authorization in place.
300
TRUE OR FALSE: The patient is on their 7/8 visit, and their next appointment is with Nicole. The PT did not notice the schedule change. PT discussed possible discharge with patient, therefore Nicole can discharge the patient per PT's request.

FALSE

300

A patient come in with 9/10 pain and reports they have not been doing their exercises. What should you do next? 

A. Tell them that it is normal to experience pain after a visit, and carry on. B. Place patient in a room and let a PT know. C. Modify exercises so they are less painful. 

B

300

What insurances should be highlighted yellow on the schedule? 

Medicare/Medicaid/MedAdvantage/DMAP/VA

300

How many hours does it take to fully train an Aide? 

48 hours

400

You are checking in a patient...or starting your evaluation and you notice there are no medications listed. What is the best course of action? 

Ask patient if they have a list of their medications and provide them to the front desk.

400

PTs and PTAs can treat very similar to PTs, and it can be confusing. What are 3 things that are not legally under a PTA's license? 

Evaluations, Re-evaluations, Discharges

400

A patient calls upset about their treatment, and requests to switch to a different PT. What is the most appropriate way to relay this info to the current treating PT? 

TEAMS or Email. This is not urgent, however good info for PT to know.

400

How often should a Medicaid patient for chronic LBP be scheduled? 

1x per week, unless otherwise specified by PT.

400

How often should you have the You Rock Rock? 

1 week!

500

You have a medicare patient who is on their 9/10 visit, and the POC expires in 1 week. Should they be a re-evaluation?

No. The re-evaluation can be done on the last visit, even if the last visit is OUTSIDE OF THE PLAN OF CARE.

500

TRUE or FALSE: Medicare plans to reimburse a PTA less than a PT for the same exact service.

TRUE: This is why different PTA codes exist. We may have to be mindful of this at some point!

500

A patient is very upset about their bill and threatens to get physical with someone if they don't remove the charges. What is the best course of action? 

A. Get your supervisor, and ask the patient to leave immediately. B. Try to deescalate the patient by yourself. C. Call the police. D. Let the person yell.

A.
500

A patient has not been seen for 2 months due to being hospitalized. They would like to return to be treated for their low back pain, which you were treating before the incident. Does the patient really need an evaluation? 

Yes. They have had a drastic change in status since their previous visit.