05: Advocacy Flashcards

1
Q

What is advocacy?

A

Any action that speaks in favor of, recommends, or argues for a cause, supports or defends or pleads on behalf of others.

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2
Q

What are some reasons OT’s would be involved in advocacy?

A
  • Pass legislation and policies protecting our profession
  • Scope of practice expansion or infringement
  • Pay/reimbursement
  • Licensure
  • Supervision requirements
  • Why a company should hire an OTP versus someone else
  • Supporting clients to get the care they need
  • Pre-approval for insurance
  • Discharging patients
  • Educating family and friends
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3
Q

What are some impacts of federal legislation on OT?

A
  • Provides direction to Medicare and Medicaid
  • Sets national healthcare laws
  • Establishes standards for federal student loans
  • Establishes funding for higher education
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4
Q

Organize the following into the correct order for how Medicare law is created.

  • House and Senate pass legislation
  • Bill introduced to Congress
  • Law is interpreted and put into a proposed rule
  • Final rule is published and immediately implemented by providers
  • Public is given the opportunity to comment on the rule
  • People lobby for or against the bill
  • President signs the legislation into law
  • Law goes to Centers for Medicare and Medicaid Services (CMS)
A
  • Bill introduced to Congress
  • People lobby for or against the bill
  • House and Senate pass legislation
  • President signs the legislation into law
  • Law goes to Centers for Medicare and Medicaid Services (CMS)
  • Law is interpreted and put into a proposed rule
  • Public is given the opportunity to comment on the rule
  • Final rule is published and immediately implemented by providers
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5
Q

The Medicare and Medicaid Program/Social Security Act occurred in which year?

A. 2018
B. 2014
C. 2010
D. 1965

A

D

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6
Q

The Improving Medicare Post-Acute Care Transformation (IMPACT) Act occurred in which year?

A. 2018
B. 2014
C. 2010
D. 1965

A

B

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7
Q

The Balanced Budget Act occurred in which year?

A. 2018
B. 2014
C. 2010
D. 1965

A

A

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8
Q

The Affordable Care Act occurred in which year?

A. 2018
B. 2014
C. 2010
D. 1965

A

C

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9
Q

Which AOTA group has 5 team members dedicated to monitoring and lobbying the US Congress and selected federal agencies to influence public policy initiatives?

A. Quality
B. State Affairs
C. Federal Regulatory Affairs
D. Federal Congressional Affairs

A

D

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10
Q

Which AOTA group has 4 team members of lawyers and billing experts who study proposed rules/laws/billing changes and provide support to practitioners and students?

A. Quality
B. State Affairs
C. Federal Regulatory Affairs
D. Federal Congressional Affairs

A

C

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11
Q

Which AOTA group has 4 team members responsible for legislative activities, the licensure compact, and acting as a liaison for state associations and regulatory bonds?

A. Quality
B. State Affairs
C. Federal Regulatory Affairs
D. Federal Congressional Affairs

A

B

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12
Q

Which AOTA group has a director and support team that monitors quality measures and outcomes for OT, and works closely with NQF, and monitors quality reporting programs?

A. Quality
B. State Affairs
C. Federal Regulatory Affairs
D. Federal Congressional Affairs

A

A

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13
Q

In the 118th Congress, which political party controls the House?

A

Republicans

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14
Q

In the 118th Congress, which political party controls the Senate?

A

Democrat

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15
Q

How long is a House representative’s term?

A

2 years

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16
Q

How long is a Senate representative’s term?

A

6 years

17
Q

True or false: Pay for performance is an example of volume-based care.

A

False

Pay for performance is an example of value-based care (quality over quantity).

Pay for service is an example of volume-based case (quantity over quality).

18
Q

What is value-based care? Why is it important?

A

Pay for performance (quality over quantity) or service (quantity over quality)

Importance: How your services are reimbursed will influence the type of services you are encouraged to provide.

19
Q

What is the AOTA Political Action Committee? What does it do?

A
  • political action committee solely dedicated to OT
  • contributes money to political candidates who support OT
  • contributes campaign money to OTs, OTAs, or OT students who are running for public office
  • Not a Super PAC
  • No AOTA dues fund AOTA PAC
  • Limitation of $5K per donor
20
Q

Allied Health Workforce Diversity is a 2022 “win” that…

A

Created a grant program to support diversity in OT (and PT, SLP, and RT)

21
Q

Telehealth Waivers was a 2022 “win” that…

A

Extended coverage through the end of 2024

22
Q

The Lymphedema Treatment Act was a 2022 “win” that…

A

Expanded Medicare coverage to cover garments needed for lymphedema treatment

23
Q

Intensive Outpatient Mental Health Services had a “win” in 2022 characterized by….

A

New Medicare mental health benefits provided by federally qualified health centers and rural heath clinics are requiring OT to be a part of those services

24
Q

What 2022 “win” for OT is related to behavioral health workforce education training?

A

OTD programs were added as eligible to apply for and receive these grants

25
Q

What happened to the Medicare physician fee schedule in 2022 and what will happen to it in 2023?

A

Dropped from 4.5% to 2%, however, slated to increase 1.5% in 2023.