Question 1

What type of code identifies specific medical procedures used in treating a patient?

Accepted Answer

A)  HCFA-1500 
B)  HCFA-1450 
C)  UB-92 
D)  ICD-9-CM 
E)  CPT 
A)  HCFA-1500 
B)  HCFA-1450 
C)  UB-92 
D)  ICD-9-CM 
E)  CPT E

Question 2

Please check all of the items that an Athletic Trainer can bill for based on procedure codes.

Accepted Answer

A)  Aquatic therapeutic exercise 
B)  Ultrasound 
C)  Suturing 
D)  Prosthetic training 
E)  Nutritional consultation
F) Counseling
G) Massage
H) Spinal manipulations
I) Dry needling 
A)  Aquatic therapeutic exercise 
B)  Ultrasound 
C)  Suturing 
D)  Prosthetic training 
E)  Nutritional consultation
F) Counseling
G) Massage
H) Spinal manipulations
I) Dry needling A, B, D, G

Question 3

Which of the following is NOT a goal of the Affordable Care Act?

Accepted Answer

A)  Improving the quality of healthcare 
B)  Establishing legal protections for consumers 
C)  Providing mechanisms for consumers to choose the insurance that is the best fit for them individually 
D)  Giving free healthcare to all of the people whose employer does not offer health insurance. 
E)  Making health insurance coverage more accessible and affordable 
A)  Improving the quality of healthcare 
B)  Establishing legal protections for consumers 
C)  Providing mechanisms for consumers to choose the insurance that is the best fit for them individually 
D)  Giving free healthcare to all of the people whose employer does not offer health insurance. 
E)  Making health insurance coverage more accessible and affordable E

Question 4

What needs to be stressed to parents if the host institution offers a secondary insurance policy for athletes?

Accepted Answer

A)  Save all receipts so they can be filed with the individual's tax records. 
B)  Submit all bills to the primary insurance company before submitting the remainder to the host institution. 
C)  All insurance filing will be taken care of by the host institution. 
D)  Pay all bills up front; the host institution will reimburse the family. 
E)  Keep all the bills until the end, then collectively file them together. 
A)  Save all receipts so they can be filed with the individual's tax records. 
B)  Submit all bills to the primary insurance company before submitting the remainder to the host institution. 
C)  All insurance filing will be taken care of by the host institution. 
D)  Pay all bills up front; the host institution will reimburse the family. 
E)  Keep all the bills until the end, then collectively file them together.

Question 5

Which third-party payer would provide financial medical assistance to an athlete who comes from a low-income family?

Accepted Answer

A)  HMO 
B)  Medicare 
C)  Indemnity plan 
D)  Worker compensation 
E)  Medicaid 
A)  HMO 
B)  Medicare 
C)  Indemnity plan 
D)  Worker compensation 
E)  Medicaid

Question 6

What type of insurance should an athletic trainer possess in order to cover the act of negligence in a civil case?

Accepted Answer

A)  Catastrophic insurance 
B)  Accident insurance 
C)  Professional liability insurance 
D)  General health insurance 
E)  Health Maintenance Organization Insurance 
A)  Catastrophic insurance 
B)  Accident insurance 
C)  Professional liability insurance 
D)  General health insurance 
E)  Health Maintenance Organization Insurance

Question 7

An athletic trainer decides to suture an athlete's head wound which is against the state practice act. What type of legal concern is this?

Accepted Answer

A)  Act of omission 
B)  Act of commission 
C)  Misfeasance 
D)  Duty of care 
E)  Liability 
A)  Act of omission 
B)  Act of commission 
C)  Misfeasance 
D)  Duty of care 
E)  Liability

Question 8

Which third-party payer usually involves a major hospital or hospital chain and its physicians?

Accepted Answer

A)  HMO 
B)  PPO 
C)  PHO 
D)  Medicare 
E)  Indemnity plans 
A)  HMO 
B)  PPO 
C)  PHO 
D)  Medicare 
E)  Indemnity plans

Question 9

An athletic trainer is performing ultrasound on a patient and accidentally burns the patient by failing to moving the ultrasound head. What type of legal concern is this?

Accepted Answer

A)  Misfeasance 
B)  Act of omission 
C)  Act of commission 
D)  Sovereign immunity 
E)  Good Samaritan law 
A)  Misfeasance 
B)  Act of omission 
C)  Act of commission 
D)  Sovereign immunity 
E)  Good Samaritan law

Question 10

Which third-party payer is a combination of the HMO and PPO plan, yet allows members to go outside the HMO to obtain services?

Accepted Answer

A)  PPO 
B)  POS 
C)  EPO 
D)  PHO 
E)  TPA 
A)  PPO 
B)  POS 
C)  EPO 
D)  PHO 
E)  TPA

Question 11

What is the full meaning for the NOCSAE abbreviation?

Accepted Answer

A)  National Operating Commission on Safety of Athletic Equipment 
B)  National Operating Committee on Standards for Athletic Equipment 
C)  National Organization on Safety of Athletic Equipment 
D)  Newly Organized Committee on Standards for Athletic Equipment 
E)  Nations Operating Commission on Safety of Athletic Equipment 
A)  National Operating Commission on Safety of Athletic Equipment 
B)  National Operating Committee on Standards for Athletic Equipment 
C)  National Organization on Safety of Athletic Equipment 
D)  Newly Organized Committee on Standards for Athletic Equipment 
E)  Nations Operating Commission on Safety of Athletic Equipment

Question 12

When submitting documentation for billing what needs to be included? Please check all that apply:

Accepted Answer

A)  An impression or diagnosis 
B)  Monthly progress notes 
C)  Patient updated medical history form 
D)  Copies of weekly treatment records 
E)  Copies of their physical
F) Diagnostic test results 
A)  An impression or diagnosis 
B)  Monthly progress notes 
C)  Patient updated medical history form 
D)  Copies of weekly treatment records 
E)  Copies of their physical
F) Diagnostic test results

Question 13

You are hosting a flag football tournament and your coach comes to you asking what type of insurance coverage you need to cover the students at this event. What would be the most appropriate insurance?

Accepted Answer

A)  Catastrophic insurance 
B)  Accident insurance 
C)  Professional liability insurance 
D)  Workers compensation 
E)  Capitation 
A)  Catastrophic insurance 
B)  Accident insurance 
C)  Professional liability insurance 
D)  Workers compensation 
E)  Capitation

Question 14

When were athletic trainers able to bill third-party payers for services rendered?

Accepted Answer

A)  1990s 
B)  1995 
C)  1996 
D)  Early 2000s 
E)  Athletic trainers have always been able to bill. 
A)  1990s 
B)  1995 
C)  1996 
D)  Early 2000s 
E)  Athletic trainers have always been able to bill.

Question 15

Please check all of the following things that an athletic trainer can do in order to reduce the risk of litigation.

Accepted Answer

A)  Create an emergency action plan that will be reviewed every 3-5 years 
B)  Keep factually accurate and timely records that at minimum documents the patient's injury 
C)  Follow the express orders of a physician at all times 
D)  Permit an injured player to participate once they look better 
E)  Use common sense when making a decision about a patient's health and safety
F) Document efforts to create a safe training environment
G) Work to establish good working relationships with the athletes, parents, patients, clients, and coworkers
H) Obtain written consent from the team doctor to treat minors
I)Be aware of the limitations of their personal liability insurance
J) Only use modalities that state law permits
K) Have a written detailed job description 
A)  Create an emergency action plan that will be reviewed every 3-5 years 
B)  Keep factually accurate and timely records that at minimum documents the patient's injury 
C)  Follow the express orders of a physician at all times 
D)  Permit an injured player to participate once they look better 
E)  Use common sense when making a decision about a patient's health and safety
F) Document efforts to create a safe training environment
G) Work to establish good working relationships with the athletes, parents, patients, clients, and coworkers
H) Obtain written consent from the team doctor to treat minors
I)Be aware of the limitations of their personal liability insurance
J) Only use modalities that state law permits
K) Have a written detailed job description

Question 16

What does the Sports Medicine Licensure Clarity Act protect?

Accepted Answer

A)  The athlete's ability to choose a healthcare provider 
B)  The right to practice athletic training 
C)  Ensuring that athletic trainers and other sports medicine professionals are properly covered by malpractice insurance while traveling 
D)  Insuring that athletic trainers can bill for service 
E)  HIPPA and FERPA must be protected for all athletes 
A)  The athlete's ability to choose a healthcare provider 
B)  The right to practice athletic training 
C)  Ensuring that athletic trainers and other sports medicine professionals are properly covered by malpractice insurance while traveling 
D)  Insuring that athletic trainers can bill for service 
E)  HIPPA and FERPA must be protected for all athletes

Question 17

What action by the Centers for Medicare and Medicaid Services (CMS) in 2005, created a job-loss for athletic trainers working in clinics and hospitals or as physician extenders?

Accepted Answer

A)  Individual state licensure acts were revoked; Board of Certification was the only honoring professional credentialing body. 
B)  Insurance billing codes for athletic training rehabilitation services were deleted. 
C)  A mandate was set forth that only outcomes research practices/treatments could be eligible for reimbursement. 
D)  Athletic trainers were no longer recognized as a qualified professional to provide therapy incident to a physician's service. 
E)  Reimbursement could only be offered if the patient had primary insurance coverage. 
A)  Individual state licensure acts were revoked; Board of Certification was the only honoring professional credentialing body. 
B)  Insurance billing codes for athletic training rehabilitation services were deleted. 
C)  A mandate was set forth that only outcomes research practices/treatments could be eligible for reimbursement. 
D)  Athletic trainers were no longer recognized as a qualified professional to provide therapy incident to a physician's service. 
E)  Reimbursement could only be offered if the patient had primary insurance coverage.

Question 18

Any healthcare provider who uses standard electronic transactions, such as electronic claims, eligibility verifications, claims status inquiries, and claim attachments is required to have one of these:

Accepted Answer

A)  Licensure 
B)  Certification 
C)  NPI number 
D)  CPT code 
E)  Billing code 
A)  Licensure 
B)  Certification 
C)  NPI number 
D)  CPT code 
E)  Billing code

Question 19

Which of the following legal terms is synonymous with malfeasance?

Accepted Answer

A)  Act of omission 
B)  Act of commission 
C)  Tort 
D)  Negligence 
E)  Liability 
A)  Act of omission 
B)  Act of commission 
C)  Tort 
D)  Negligence 
E)  Liability

Question 20

Which of the following is an incorrect statement about catastrophic insurance?

Accepted Answer

A)  The medical plan benefits the NCAA offers to athletes who require a lifetime of extensive medical care because of a permanent disability. 
B)  Errors and omissions liability insurance evolved to offset the shotgun approach of lawsuits and to cover what is not covered by a general liability policy. 
C)  The National Federation of State High School Associations (NFSHS
A)  offers a plan that provides for costs in excess of $10,000 not covered by other insurance benefits. 
D)  The existence of these plans eliminates the need for the professional to carry personal liability insurance. 
E)  Costs for catastrophic insurance are based on the number of sports and the number of hazardous sports offered by the institution. 
A)  The medical plan benefits the NCAA offers to athletes who require a lifetime of extensive medical care because of a permanent disability. 
B)  Errors and omissions liability insurance evolved to offset the shotgun approach of lawsuits and to cover what is not covered by a general liability policy. 
C)  The National Federation of State High School Associations (NFSHS
A)  offers a plan that provides for costs in excess of $10,000 not covered by other insurance benefits. 
D)  The existence of these plans eliminates the need for the professional to carry personal liability insurance. 
E)  Costs for catastrophic insurance are based on the number of sports and the number of hazardous sports offered by the institution.

Exam 3: Legal Concerns and Insurance Issues

What type of code identifies specific medical procedures used in treating a patient?

Please check all of the items that an Athletic Trainer can bill for based on procedure codes.

Which of the following is NOT a goal of the Affordable Care Act?

What needs to be stressed to parents if the host institution offers a secondary insurance policy for athletes?

Which third-party payer would provide financial medical assistance to an athlete who comes from a low-income family?

What type of insurance should an athletic trainer possess in order to cover the act of negligence in a civil case?

An athletic trainer decides to suture an athlete's head wound which is against the state practice act. What type of legal concern is this?

Which third-party payer usually involves a major hospital or hospital chain and its physicians?

An athletic trainer is performing ultrasound on a patient and accidentally burns the patient by failing to moving the ultrasound head. What type of legal concern is this?

Which third-party payer is a combination of the HMO and PPO plan, yet allows members to go outside the HMO to obtain services?

What is the full meaning for the NOCSAE abbreviation?

When submitting documentation for billing what needs to be included? Please check all that apply:

You are hosting a flag football tournament and your coach comes to you asking what type of insurance coverage you need to cover the students at this event. What would be the most appropriate insurance?

When were athletic trainers able to bill third-party payers for services rendered?

Please check all of the following things that an athletic trainer can do in order to reduce the risk of litigation.

What does the Sports Medicine Licensure Clarity Act protect?

What action by the Centers for Medicare and Medicaid Services (CMS) in 2005, created a job-loss for athletic trainers working in clinics and hospitals or as physician extenders?

Any healthcare provider who uses standard electronic transactions, such as electronic claims, eligibility verifications, claims status inquiries, and claim attachments is required to have one of these:

Which of the following legal terms is synonymous with malfeasance?

Which of the following is an incorrect statement about catastrophic insurance?

The Athletic Trainer As a Health Care Provider

Health Care Organization and Administration in Athletic Training

Fitness and Conditioning Techniques

Nutrition and Supplements

Environmental Considerations

Protective Equipment

Wrapping and Taping

Mechanisms and Characteristics of Musculoskeletal and Nerve Trauma

Tissue Response to Injury

Psychosocial Intervention for Sports Injuries and Illnesses

On-The-Field Acute Care and Emergency Procedures

Off-The-Field Injury Evaluation

Infectious Diseases, Bloodborne Pathogens, and Universal Precautions

Using Therapeutic Modalities

Using Therapeutic Exercise in Rehabilitation

Pharmacology, Drugs, and Sports

The Foot

The Ankle and Lower Leg

The Knee and Related Structures

The Thigh, Hip, Groin, and Pelvis

The Shoulder Complex

The Elbow

The Forearm, Wrist, Hand, and Fingers

The Spine

The Head, Face, Eyes, Ears, Nose, and Throat

The Thorax and Abdomen

Skin Disorders

Additional General Medical Conditions

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