Question 1

Productivity requirements have a positive contribution to sustaining businesses and assuring that communities receive quality healthcare.

Accepted Answer

A) True 
 B)False  True

Question 2

Criteria for services that are considered medically necessary and reasonable include each of the following except:

Accepted Answer

A)  The practitioner's skills were needed for the treatment of the illness or dysfunction. 
B)  Objective assessments can be used to measure progress and improvement. 
C)  A statement of medical necessity is completed by the occupational therapist. 
D)  Improvement can be expected in a reasonable and predictable duration. 
A)  The practitioner's skills were needed for the treatment of the illness or dysfunction. 
B)  Objective assessments can be used to measure progress and improvement. 
C)  A statement of medical necessity is completed by the occupational therapist. 
D)  Improvement can be expected in a reasonable and predictable duration. C

Question 3

A group for therapy purposes can consist of:

Accepted Answer

A)  two to three people in a group. 
B)  two to four people in a group. 
C)  two to five people in a group. 
D)  two to six people in a group. 
A)  two to three people in a group. 
B)  two to four people in a group. 
C)  two to five people in a group. 
D)  two to six people in a group. D

Question 4

A primary and acceptable strategy for improving productivity is to place many patients in 100% concurrent therapy.

Accepted Answer

A) True 
 B)False

Question 5

Services covered through Medicare can be described as:

Accepted Answer

A)  Skilled and medically necessary. 
B)  Skilled and billable. 
C)  Billable and nonbillable. 
D)  Subject to productivity expectations. 
A)  Skilled and medically necessary. 
B)  Skilled and billable. 
C)  Billable and nonbillable. 
D)  Subject to productivity expectations.

Question 6

All of the following might be considered a compromise of professional autonomy except:

Accepted Answer

A)  Asking the practitioner to provide services focused on the maintenance of an individual's condition or prevention of decline if the individual has Medicare. 
B)  Asking the practitioner to increase the duration of services to a patient even if therapeutic services are not needed anymore. 
C)  Asking the therapist to initiate services for a client even if the services are not medically necessary or the interventions are not skilled. 
D)  Asking the therapist to decrease the duration of a client's services even though the therapist thinks the client needs a longer duration of services. 
A)  Asking the practitioner to provide services focused on the maintenance of an individual's condition or prevention of decline if the individual has Medicare. 
B)  Asking the practitioner to increase the duration of services to a patient even if therapeutic services are not needed anymore. 
C)  Asking the therapist to initiate services for a client even if the services are not medically necessary or the interventions are not skilled. 
D)  Asking the therapist to decrease the duration of a client's services even though the therapist thinks the client needs a longer duration of services.

Question 7

An example of nonbillable service is a:

Accepted Answer

A)  Therapist performing therapeutic activities (CPT 97530) with a client. 
B)  Therapist performing exercises that the caregivers have been trained to do with a client. 
C)  Therapist educating a client regarding the use of an adaptive device to improve function. 
D)  Therapist establishing short-term and long-term goals for a client. 
A)  Therapist performing therapeutic activities (CPT 97530) with a client. 
B)  Therapist performing exercises that the caregivers have been trained to do with a client. 
C)  Therapist educating a client regarding the use of an adaptive device to improve function. 
D)  Therapist establishing short-term and long-term goals for a client.

Question 8

The number of units of care billed or the percentage of time spent in billable activity during a predetermined period, often based on an 8-hour day, best defines:

Accepted Answer

A)  Value. 
B)  Productivity. 
C)  Metrics. 
D)  Output. 
A)  Value. 
B)  Productivity. 
C)  Metrics. 
D)  Output.

Question 9

Which of the following is true regarding the requirements for demonstrating improvement in occupational therapy services in order to obtain Medicare coverage for services?

Accepted Answer

A)  Clients must always demonstrate sustained improvement. 
B)  Improvement is never a consideration in whether occupational therapy services are covered by Medicare. 
C)  Even though clients cannot attain full medical recovery, they may still need skilled services to maintain current capabilities or prevent further deterioration of condition. 
D)  Sustained improvement must be demonstrated in the first 10 days of occupational therapy services. 
A)  Clients must always demonstrate sustained improvement. 
B)  Improvement is never a consideration in whether occupational therapy services are covered by Medicare. 
C)  Even though clients cannot attain full medical recovery, they may still need skilled services to maintain current capabilities or prevent further deterioration of condition. 
D)  Sustained improvement must be demonstrated in the first 10 days of occupational therapy services.

Question 10

Concurrent therapy can consist of:

Accepted Answer

A)  seeing two clients performing different activities or interventions at the same time. 
B)  seeing two clients performing the same activity or intervention at the same time. 
C)  seeing a group of three clients performing the same activity. 
D)  co-treating two clients with the physical therapist. 
A)  seeing two clients performing different activities or interventions at the same time. 
B)  seeing two clients performing the same activity or intervention at the same time. 
C)  seeing a group of three clients performing the same activity. 
D)  co-treating two clients with the physical therapist.

Question 11

Which of the following have been identified as contributing to moral distress by occupational therapy practitioners?

Accepted Answer

A)  Diminished client care due to poor communication among team members at work 
B)  Decreased quality of patient care secondary to pressure from administration or insurers 
C)  Diminished quality of patient care (that leads to suffering) due to lack of provider continuity 
D)  All of the above 
A)  Diminished client care due to poor communication among team members at work 
B)  Decreased quality of patient care secondary to pressure from administration or insurers 
C)  Diminished quality of patient care (that leads to suffering) due to lack of provider continuity 
D)  All of the above

Question 12

The legal case Jimmo v. Sibelius determined that Medicare never covers services focused on the maintenance of an individual's condition or prevention of decline.

Accepted Answer

A) True 
 B)False

Question 13

The Centers for Medicare and Medicaid Services (CMS) have some of the most stringent guidelines on what is considered billable service and are often applied to patients with private insurances.

Accepted Answer

A) True 
 B)False

Question 14

A state and federal program that can be used to pay for health care for people with low income is best named:

Accepted Answer

A)  Medicare Part A. 
B)  Medicare Part B. 
C)  CHIPS. 
D)  Medicaid. 
A)  Medicare Part A. 
B)  Medicare Part B. 
C)  CHIPS. 
D)  Medicaid.

Question 15

Codes that are published by the American Medical Association and are used to describe specific medical procedures performed by healthcare practitioners on patients are best called:

Accepted Answer

A)  AMA codes. 
B)  HCPC codes. 
C)  CPT codes. 
D)  Billing codes. 
A)  AMA codes. 
B)  HCPC codes. 
C)  CPT codes. 
D)  Billing codes.

Question 16

Which of the following include examples of healthcare fraud?

Accepted Answer

A)  Billing for services not rendered 
B)  Documenting services not rendered 
C)  Billing for a more complex procedure than was actually performed 
D)  All of the above 
A)  Billing for services not rendered 
B)  Documenting services not rendered 
C)  Billing for a more complex procedure than was actually performed 
D)  All of the above

Question 17

The productivity expectation of a skilled nursing facility is 85%. Based on an 8-hour day (excluding breaks), the duration of billable services (in minutes) would be:

Accepted Answer

A)  400 minutes 
B)  415 minutes 
C)  420 minutes 
D)  408 minutes 
A)  400 minutes 
B)  415 minutes 
C)  420 minutes 
D)  408 minutes

Question 18

The Patient-Driven Payment Model is a model of payment that affects occupational therapy intervention and payment in which setting?

Accepted Answer

A)  Acute care 
B)  Home health 
C)  Skilled nursing facilities 
D)  Inpatient rehabilitation 
A)  Acute care 
B)  Home health 
C)  Skilled nursing facilities 
D)  Inpatient rehabilitation

Question 19

Which of the following is most commonly considered a nonbillable service?

Accepted Answer

A)  Re-evaluations 
B)  Documentation 
C)  Group therapy 
D)  Patient and family education 
A)  Re-evaluations 
B)  Documentation 
C)  Group therapy 
D)  Patient and family education

Question 20

The Patient-Driven Groupings Model (PDGM) is a model of payment that affects occupational therapy intervention and payment in what setting?

Accepted Answer

A)  Acute care 
B)  Home health 
C)  Skilled nursing facilities 
D)  Inpatient rehabilitation 
A)  Acute care 
B)  Home health 
C)  Skilled nursing facilities 
D)  Inpatient rehabilitation

Productivity requirements have a positive contribution to sustaining businesses and assuring that communities receive quality healthcare.

Criteria for services that are considered medically necessary and reasonable include each of the following except:

A group for therapy purposes can consist of:

A primary and acceptable strategy for improving productivity is to place many patients in 100% concurrent therapy.

Services covered through Medicare can be described as:

All of the following might be considered a compromise of professional autonomy except:

An example of nonbillable service is a:

The number of units of care billed or the percentage of time spent in billable activity during a predetermined period, often based on an 8-hour day, best defines:

Which of the following is true regarding the requirements for demonstrating improvement in occupational therapy services in order to obtain Medicare coverage for services?

Concurrent therapy can consist of:

Which of the following have been identified as contributing to moral distress by occupational therapy practitioners?

The legal case Jimmo v. Sibelius determined that Medicare never covers services focused on the maintenance of an individual's condition or prevention of decline.

The Centers for Medicare and Medicaid Services (CMS) have some of the most stringent guidelines on what is considered billable service and are often applied to patients with private insurances.

A state and federal program that can be used to pay for health care for people with low income is best named:

Codes that are published by the American Medical Association and are used to describe specific medical procedures performed by healthcare practitioners on patients are best called:

Which of the following include examples of healthcare fraud?

The productivity expectation of a skilled nursing facility is 85%. Based on an 8-hour day (excluding breaks), the duration of billable services (in minutes) would be:

The Patient-Driven Payment Model is a model of payment that affects occupational therapy intervention and payment in which setting?

Which of the following is most commonly considered a nonbillable service?

The Patient-Driven Groupings Model (PDGM) is a model of payment that affects occupational therapy intervention and payment in what setting?

Leadership: The Art, Science, and Evidence

Engaging in Evidence-Based Management

Understanding Healthcare Systems and Practice Contexts

Understanding and Working Within Organizations

Communicating Effectively in Complex Environments

Roles and Functions of Managers: Planning, Organizing and Staffing, Directing, and Controlling

Roles and Functions of Supervisors

Occupational Therapistoccupational Therapy Assistant Partnership: Supervision and Collaboration

Professional Teams, Interprofessional Education, and Collaborative Practice

Strategic Planning

Managing Change and Solving Problems

Financial Planning, Management, and Budgeting

Assessing and Promoting Clinical and Managerial Competency

Continuous Quality Improvement

Marketing Occupational Therapy Services

Developing Evidence-Based Occupational Therapy Programming

Introducing Others to Evidence-Based Practice

Turning Theory Into Practice: Managerial Strategies

Responsible Participation in a Profession: Fostering Professionalism and Leading for Moral Action

Filters

Exam 13: Surviving and Thriving in High-Demand Settings

Productivity requirements have a positive contribution to sustaining businesses and assuring that communities receive quality healthcare.

Criteria for services that are considered medically necessary and reasonable include each of the following except:

A group for therapy purposes can consist of:

A primary and acceptable strategy for improving productivity is to place many patients in 100% concurrent therapy.

Services covered through Medicare can be described as:

All of the following might be considered a compromise of professional autonomy except:

An example of nonbillable service is a:

The number of units of care billed or the percentage of time spent in billable activity during a predetermined period, often based on an 8-hour day, best defines:

Which of the following is true regarding the requirements for demonstrating improvement in occupational therapy services in order to obtain Medicare coverage for services?

Concurrent therapy can consist of:

Which of the following have been identified as contributing to moral distress by occupational therapy practitioners?

The legal case Jimmo v. Sibelius determined that Medicare never covers services focused on the maintenance of an individual's condition or prevention of decline.

The Centers for Medicare and Medicaid Services (CMS) have some of the most stringent guidelines on what is considered billable service and are often applied to patients with private insurances.

A state and federal program that can be used to pay for health care for people with low income is best named:

Codes that are published by the American Medical Association and are used to describe specific medical procedures performed by healthcare practitioners on patients are best called:

Which of the following include examples of healthcare fraud?

The productivity expectation of a skilled nursing facility is 85%. Based on an 8-hour day (excluding breaks), the duration of billable services (in minutes) would be:

The Patient-Driven Payment Model is a model of payment that affects occupational therapy intervention and payment in which setting?

Which of the following is most commonly considered a nonbillable service?

The Patient-Driven Groupings Model (PDGM) is a model of payment that affects occupational therapy intervention and payment in what setting?

Leadership: The Art, Science, and Evidence

Engaging in Evidence-Based Management

Understanding Healthcare Systems and Practice Contexts

Understanding and Working Within Organizations

Communicating Effectively in Complex Environments

Roles and Functions of Managers: Planning, Organizing and Staffing, Directing, and Controlling

Roles and Functions of Supervisors

Occupational Therapistoccupational Therapy Assistant Partnership: Supervision and Collaboration

Professional Teams, Interprofessional Education, and Collaborative Practice

Strategic Planning

Managing Change and Solving Problems

Financial Planning, Management, and Budgeting

Assessing and Promoting Clinical and Managerial Competency

Continuous Quality Improvement

Marketing Occupational Therapy Services

Developing Evidence-Based Occupational Therapy Programming

Introducing Others to Evidence-Based Practice

Turning Theory Into Practice: Managerial Strategies

Responsible Participation in a Profession: Fostering Professionalism and Leading for Moral Action

Filters