07-11 Final Review Flashcards
1
Q
Different Types of Fibers and How We Strengthen Them
A
- Type 1 (Tonic) (Slow Twitch): Postural Muscles - Enduranxe
- Type 2 (Phasic) (Fast Twitch): Burst of Energy - Fatigues easily - Power
2
Q
ICD-9 and CPT codes, How they are used in Therapy
A
- ICD-9: International Classification Codes [for Diagnosis]
- Ex: 724.9 = Lumbago
- CPT: Billing Codes [Ex: 97001 = PT Evaluation]
- CPT is used for outpatient settings
- Different reimbursement scales, depending on reason for visit
3
Q
Key insurance terms
A
- Co-Pay: Pre-determined set payment for service
- Deductible: Amount paid out of pocket prior to insurance making payment for services
- Coinsurance: Percentage payment for service
- HMO: Health Maintenance Organization
- PPO: Preferred Provider Organization
- Case Rate [Global Fee]: Total reimbursement for the treatment of an injury; Used for Workers’ Comp
- Functional G Codes: Required documentation on Medicare B patients
4
Q
Types of Medicare
A
- Medicare A [Hospital/Inpatient]
- Medicare B [Outpatient]
- Medicare C [Medicare Advantage Plans - Provided by private insurance companies approved by Medicare]
- Medicare D [Outpatient Prescription Drug Coverage]
5
Q
Appropriate times of rest when pt complains of fatigue
A
- Acute Fatigue: 3-4 minutes
6
Q
Functional G Codes
A
- Required documentation on Medicare B patients
- Outpatient
- If not included in billing, payment will be denied [July 1, 2013]
- Reports functional limitations, goals and outcomes
7
Q
When are Functional G Codes documented
A
- Outset of therapy
- Every 10th visit
- Formal evaluation
- Upon pt discharge
8
Q
Functional Limitation Categores [G Codes]
A
- Mobility
- Changing/maintaining body postion [transfers, bed mobility]
- Carrying/moving/handling objects [more OT, but can incorporate into PT]
- Self-care [ADLs - bathroom, dress themselves]
- Therapy services not intended to treat functional limitations [includes wound care]
9
Q
How would you increase muscle girth when strengthening?
A
- Hypertrophy: Increase in size of myofibrils
- 4-8 weeks of high intensity training
- High-volume moderate resistance eccentric training
10
Q
Billing Times
A
- 0 units: 0-7 minutes
- 1 unit: 8-22 minutes
- 2 units: 23-37 minutes
- 3 units: 38-52 minutes
- 4 units: 53-67 minutes
11
Q
Strength vs. Endurance [Muscle exercise]
A
- Endurance: Higher reps, lower loads
- Strength: Higher loads, lower reps
12
Q
How long it takes for muscle strength to increase
A
- True muscle gain takes 6-12 weeks
13
Q
Indications for strengthening
A
- Muscle weakness
- Prevent atrophy
14
Q
Contraindications for strengthening
A
- Pain
- Inflammation [Acute inflammation NM disease like acute Guillain-Barre Disease or inflammatory disease like acute polio; Dynamic exercise contraindicated with acute joint inflammation]
- Severe cardiopulmonary disease [5 wks or less after MI, CABG; need MD clearance]
15
Q
Precautions for strengthening
A
- Valsalva
- Substitute motions
- Overtraining: Decreased strength due to inadequate rest/recovery
- Overwork: weakness; requires longer recovery time
- Exercise-induced muscle soreness: DOMS
- Pathologic fracture
16
Q
Government-funded payer sources [insurance]
A
- Medicare
- Medicaid
- Tricare
